Organization
GRAEBER'S PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER C DEZINNO (VP AND SEC)
(203) 235-6305
Entity
Organization
Contact information
Practice address
172 WEST MAIN ST, MERIDEN, CT 06451-4104
(203) 235-6305
Mailing address
172 W MAIN ST, MERIDEN, CT 06451-4104
(203) 235-6305
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PCY0000416
CT
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PCY0000416
CT
333600000X
Pharmacy
PCY0000416
CT
3336C0003X
Community/Retail Pharmacy
Primary
PCY0000416
CT
335E00000X
Prosthetic/Orthotic Supplier
PCY0000416
CT
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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