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
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