Healthcare Provider Details

I. General information

NPI: 1740374156
Provider Name (Legal Business Name): TURRILL DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 03/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 OLD ROUTE 7
BROOKFIELD CT
06804-1711
US

IV. Provider business mailing address

PO BOX 706
BROOKFIELD CT
06804-0706
US

V. Phone/Fax

Practice location:
  • Phone: 203-775-0463
  • Fax: 203-740-9098
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0472
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JAMES CANGELOSI
Title or Position: PRESIDENT
Credential: RPH
Phone: 203-775-0463