Organization
BIG Y FOODS, INC.
Active
Other names
Big Y Pharmacy #56
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE PAPPAS RPH (MANAGER OF PHARMACY OPERATIONS)
(413) 504-4492
Entity
Organization
Contact information
Practice address
1 KENT RD, NEW MILFORD, CT 06776-3405
(860) 354-5554
Mailing address
2145 ROOSEVELT AVE, ATTN: PHARMACY DEPT., SPRINGFIELD, MA 01104-1650
(860) 354-5554
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PCY.2160
CT
3336C0003X
Community/Retail Pharmacy
Primary
PCY.0001881
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008014079
—
CT
01
—
PCY.2160
STATE PHARMACY LICENSE
CT
Enumeration date
01/22/2010
Last updated
12/23/2015
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