Organization Name: | SOUSA'S PHARMACY INC |
NPI Number: | 1376649186 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANK SIMAO SOUSA (PRESIDENT) |
Mailing Address: | 1881 Park St Hartford |
State: | CT US |
Postal Code: | 061062118 |
Phone Number: | 8605234281 |
Fax Number: | 8602360255 |
NPI Enumeration Date: | 09/16/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 532 |
Healthcare Provider Taxonomy: (Secondary) | X |
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 |