Organization
BIG Y FOODS INC
Active
Other names
BIG Y PHARMACY #60
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE PAPPAS (PHARMACY OPERATIONS MANAGER)
(413) 504-4492
Entity
Organization
Contact information
Practice address
67 PROSPECT HILL RD, EAST WINDSOR, CT 06088-3605
(860) 623-1407
(860) 623-1640
Mailing address
67 PROSPECT HILL RD, EAST WINDSOR, CT 06088-3605
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
PCY1788
CT
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004215978
—
CT
01
—
0719091
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/12/2006
Last updated
07/16/2012
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