Organization
EVINE LLC
Active
Other names
ValueRx Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE KOSOSKI R.PH (CHIEF OPERATING OFFICER)
(413) 636-5119
Entity
Organization
Contact information
Practice address
54 TUTTLE PL, MIDDLETOWN, CT 06457-1863
(860) 614-9000
Mailing address
54 TUTTLE PL, MIDDLETOWN, CT 06457-1863
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
09/07/2015
Last updated
09/07/2015
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