Organization
BOLBOL LLC
Active
Other names
THE MEDICINE SHOPPE 1442
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NAGY A WASSEF RPH (MEMBER)
(860) 449-3097
Entity
Organization
Contact information
Practice address
79 EAST ST, VERNON ROCKVILLE, CT 06066-3845
(860) 775-2507
(860) 870-8160
Mailing address
79 EAST ST, VERNON ROCKVILLE, CT 06066-3845
(860) 775-2507
(860) 870-8160
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
793
CT
Other
Enumeration date
02/18/2017
Last updated
02/18/2017
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