Organization
NELSON'S PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GIRIACO J RUSSO RPH (PRESIDENT)
(203) 729-2297
Entity
Organization
Contact information
Practice address
153 MAPLE ST, NAUGATUCK, CT 06770-4256
(203) 729-2297
Mailing address
153 MAPLE ST, NAUGATUCK, CT 06770-4256
(203) 729-2297
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
538
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004074100
—
CT
Enumeration date
02/05/2007
Last updated
03/06/2013
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