Organization
CANDLEWOOD PHARMACY
Active
Other names
CANDLEWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MASTERANTUONE (PRES)
(203) 746-2404
Entity
Organization
Contact information
Practice address
11 RT 37, BOX 8874, NEW FAIRFIELD, CT 06812
(203) 746-2404
(203) 746-2269
Mailing address
11 RT 37, BOX 8874, NEW FAIRFIELD, CT 06812
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
1040
CT
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0705244
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/09/2005
Last updated
09/11/2025
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