Organization Name: | MEDICINE SHOPPE |
NPI Number: | 1073678496 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YEHIA ARYAN (OWNER PHARMACIST) |
Mailing Address: | 774 Farmington Ave West Hartford |
State: | CT US |
Postal Code: | 061191615 |
Phone Number: | 8602324595 |
Fax Number: | 8602369525 |
NPI Enumeration Date: | 12/26/2006 |
NPI Last Update Date: | 09/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 004267482 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |