Organization Name: | CANDLEWOOD DRUGS LLC |
NPI Number: | 1780900233 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SIRISHA MALLIDI (PHARMACIST) |
Mailing Address: | 11 State Route 37 New Fairfield |
State: | CT US |
Postal Code: | 068124028 |
Phone Number: | 2033129999 |
Fax Number: | 2037466789 |
NPI Enumeration Date: | 04/08/2010 |
NPI Last Update Date: | 03/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0002167 |
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 |