Organization
BIG Y FOODS INC
Active
Other names
BIG Y PHARMACY #34
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE PAPPAS (PHARMACY OPERATIONS MANAGER)
(413) 504-4492
Entity
Organization
Contact information
Practice address
141B STORRS ROAD, MANSFIELD, CT 06250
(860) 456-1358
(860) 456-1384
Mailing address
PO BOX 515, MANSFIELD CENTER, CT 06250-0515
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PCY.1863
CT
333600000X
Pharmacy
PCY1863
CT
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004242658
—
CT
01
—
0719825
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/13/2006
Last updated
12/15/2015
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