NPI 1316062904
Pioneer Health Compounding Pharmcacy
Practice location
- Address
- 520 Hartford Tpke Suite D, Vernon, CT 06066-5037
- Phone
- (860) 979-0089
- Fax
- (860) 989-0091
Authorised official
- Name
- Eugene Gresh
- Title
- Owner
- Phone
- (860) 979-0089
Registered specialties
Compounding Pharmacy
Primary
Registry record
- NPI
- 1316062904
- Entity type
- Organization
- NPI issued
- 20 Mar 2007
- Record last updated
- 22 Aug 2020
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.