Organization
BIG Y FOODS, INC.
Active
Other names
Big Y Pharmacy #17
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE PAPPAS (SR MANAGER OF PHARMACY SERVICES)
(413) 504-4492
Entity
Organization
Contact information
Practice address
87-C WEST STAFFORD SPRINGS PLAZA, ROUTE 190, STAFFORD SPRINGS, CT 06076
(860) 684-4597
(860) 684-5082
Mailing address
2145 ROOSEVELT AVE, SPRINGFIELD, MA 01104-1650
(413) 504-4492
(413) 504-5492
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PCY.2093
CT
3336C0003X
Community/Retail Pharmacy
Primary
PCY.0002093
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004269339
—
CT
01
—
PCY.0002093
STATE PHARMACY LICENSE
CT
Enumeration date
05/24/2007
Last updated
02/18/2016
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