Organization
GREENVILLE DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A KISZKIEL II RPH (PRESIDENT)
(860) 889-9857
Entity
Organization
Contact information
Practice address
213 CENTRAL AVE, NORWICH, CT 06360-3801
(860) 889-9857
(860) 886-0950
Mailing address
213 CENTRAL AVE, NORWICH, CT 06360-3801
(860) 889-9857
(860) 886-0950
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
731
CT
Other
Enumeration date
12/22/2005
Last updated
08/22/2020
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