NPI 1003968488

Southwood Pharmacy, INC

Organisation Community/Retail Pharmacy Enfield, CT

Practice location

Address: 89 Raffia Rd, Enfield, CT 06082-5157
Phone: (860) 749-8334
Fax: (860) 749-8156

Authorised official

Name: Edward Szewczyk
Title: Pres
Phone: (860) 749-8334

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 528 (CT)

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Registry record

NPI: 1003968488
Entity type: Organization
NPI issued: 17 Jan 2007
Record last updated: 9 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.