Organization
INNOVA PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE KOSOSKI (PRESIDENT)
(877) 825-7880
Entity
Organization
Contact information
Practice address
40 WESTON ST, SUITE G, HARTFORD, CT 06120-1538
(877) 825-7880
Mailing address
40 WESTON ST, SUITE G, HARTFORD, CT 06120-1538
(877) 825-7880
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PCY.2179
CT
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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