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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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