Organization Name: | BURGDORF PHARMACY INC |
NPI Number: | 1811199979 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGELO DEFAZIO (PRESIDENT CEO) |
Mailing Address: | 131 Coventry Street 2nd Fl Hartford |
State: | CT US |
Postal Code: | 06112 |
Phone Number: | 8602862766 |
Fax Number: | 8602862981 |
NPI Enumeration Date: | 06/01/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 01571 |
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 |