Organization
PIONEER HEALTH COMPOUNDING PHARMCACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE GRESH JR. (OWNER)
(860) 979-0089
Entity
Organization
Contact information
Practice address
520 HARTFORD TPKE, SUITE D, VERNON, CT 06066-5037
(860) 979-0089
(860) 989-0091
Mailing address
520 HARTFORD TPKE, SUITE D, VERNON, CT 06066-5037
(860) 979-0089
(860) 989-0091
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PCY.1828
CT
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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