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Organization

GREENVILLE DRUG STORE INC

Active
Other names
GREENVILLE DRUG STORE INC
Organization subpart
No

Provider details

NPI number
Authorized official
LORI LORD RPH (MANAGER)
(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
3336C0003X
Community/Retail Pharmacy
Primary
PCY.0000731
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004030045
CT
01
1998702
PK
Enumeration date
09/12/2006
Last updated
09/19/2025
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