Greenville Drug Store INC

NPI #1174509939 in Norwich, Connecticut

Provider Information

NPI Number: 1174509939
Entity Type: Organization
Organization Name: Greenville Drug Store INC
Primary Specialty: Pharmacist
Enumeration Date: Dec 22, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 213 CENTRAL AVE
City: Norwich
State: Connecticut
ZIP Code: 06360-3801
Phone: (860) 889-9857

Authorized Official

Name: JOHN A KISZKIEL II, RPH
Title: PRESIDENT
Phone: (860) 889-9857

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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