Provider Demographics
NPI:1366956864
Name:FND PHARMACY INC
Entity type:Organization
Organization Name:FND PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAFERIO
Authorized Official - Suffix:JR
Authorized Official - Credentials:RPH
Authorized Official - Phone:203-214-8204
Mailing Address - Street 1:32 GOLFVIEW DR
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06795-1649
Mailing Address - Country:US
Mailing Address - Phone:203-214-8204
Mailing Address - Fax:
Practice Address - Street 1:792 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-4117
Practice Address - Country:US
Practice Address - Phone:203-754-0181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-21
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT06963336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy