Organization
BIG Y FOODS, INC
Active
Other names
Big Y Pharmacy #5
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE L PAPPAS (SR MANAGER OF PHARMACY SERVICES)
(413) 504-4492
Entity
Organization
Contact information
Practice address
79 STONINGTON RD, MYSTIC, CT 06355-2931
(860) 536-5835
(860) 536-5837
Mailing address
2145 ROOSEVELT AVE, SPRINGFIELD, MA 01104-1650
(413) 504-4492
(413) 504-5492
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
4259010041
CT
3336C0003X
Community/Retail Pharmacy
Primary
PCY.1647
CT
Other
Enumeration date
09/22/2010
Last updated
02/18/2016
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