Organization
BIG Y FOODS, INC.
Active
Parent organization
BIG Y FOODS, INC.
Other names
Big Y Pharmacy #109
Organization subpart
Yes
Provider details
NPI number
Legal business name
BIG Y FOODS, INC.
Authorized official
GEORGE L PAPPAS (SR MANAGER PHARMACY SERVICES)
(413) 504-4492
Entity
Organization
Contact information
Practice address
7 E HAMPTON RD, RT 66, MARLBOROUGH, CT 06447-1402
(860) 467-9138
Mailing address
2145 ROOSEVELT AVE, ATTN PHARMACY DEPT, SPRINGFIELD, MA 01104
(413) 504-4492
(413) 504-5492
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008084481
—
CT
01
—
PCY.0002377
PHARMACY STATE LICENSE
CT
Enumeration date
12/16/2018
Last updated
03/13/2019
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