Organization
MGFN CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAGY WASSEF RPH (OWNER PHARMACIST)
(860) 442-0669
Entity
Organization
Contact information
Practice address
613 BROAD ST, NEW LONDON, CT 06320-2544
(860) 442-0669
(860) 442-4513
Mailing address
613 BROAD ST, NEW LONDON, CT 06320-2544
(860) 442-0669
(860) 442-4513
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1118
CT
333600000X
Pharmacy
1118
CT
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
1118
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004256310
—
CT
01
—
0710067
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4257475
—
CT
Enumeration date
08/10/2006
Last updated
03/07/2023
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