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Organization

BIG Y FOODS INC

Active
Other names
BIG Y PHARMACY #73
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE PAPPAS RPH (PHARMACY OPERATIONS MANAGER)
(413) 504-4492
Entity
Organization

Contact information

Practice address
135 WEST RD, ELLINGTON, CT 06029-3719
(860) 896-0264
(860) 896-0457
Mailing address
PO BOX 4541, SPRINGFIELD, MA 01101-4541

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
PCY2041
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0720587
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
10/12/2006
Last updated
01/31/2008
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