Organization
BIG Y FOODS, INC
Active
Other names
Big Y Pharmacy #42
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SEMANIE (DIRECTOR OF PHARMACY)
(413) 504-4492
Entity
Organization
Contact information
Practice address
820 WASHINGTON ST, MIDDLETOWN, CT 06457-2912
(860) 344-1551
(860) 344-1560
Mailing address
2145 ROOSEVELT AVE, SPRINGFIELD, MA 01104-1650
(413) 504-4492
(413) 504-5492
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PCY.1615
CT
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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