Dixwell Pharmacy LLC
Pharmacy, Long Term Care Pharmacy in Hamden, CT. Organization (NPI-2).
NPI number1710074901
StatusActive
Last updated in NPPESJul 13, 2016
Details
- NPI
- 1710074901
- Entity type
- Organization (NPI-2)
- Legal business name
- Dixwell Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Oct 7, 2006
- Last updated
- Jul 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | PCY.0001981 | CT | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Annex Pharmacy (Doing Business As)
Practice location
2380a Dixwell AveHamden, CT 06514
Phone 203-281-2718 · Fax 203-281-2859
Mailing address
2380 Dixwell AveSte A
Hamden, CT 06514-1847
Phone 203-281-6571 · Fax 203-281-2859
Authorized official
Naveen Parupalli
Member
2032812718
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