Organization
EZ PHARM LLC
Active
Other names
EZ PHARM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KUZIA (EXEC OFFICER)
(860) 284-0020
Entity
Organization
Contact information
Practice address
166 WATERBURY RD, PROSPECT, CT 06712-1200
(860) 284-0020
(860) 201-1200
Mailing address
PO BOX 406, AVON, CT 06001-0406
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PCY2052
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0720664
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/25/2006
Last updated
08/22/2020
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