MARY E TYRRELL
2 Main St N
Woodbury, CT 06798
203-263-2018
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | CT | 51 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
004069845 | CT | MEDICAID |