Organization
NELSON'S PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GIRIACO JOHN RUSSO RPH (PRESIDENT)
(203) 729-2297
Entity
Organization
Contact information
Practice address
153 MAPLE ST, NAUGATUCK, CT 06770-4256
(203) 729-2297
(203) 729-1134
Mailing address
153 MAPLE ST, NAUGATUCK, CT 06770-4256
(203) 729-2297
(203) 729-1134
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004073995
—
CT
01
—
040690001
DMERC SUPPLIER ID
CT
Enumeration date
11/15/2006
Last updated
09/02/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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