# NEW HAVEN PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134867575
- **Authorized official:** VINIT PATEL (OWNER)
- **Authorized official phone:** (304) 882-2005

## Contact information

- **Practice address:** 307 5TH STREET, NEW HAVEN, WV 25265
- **Practice address phone:** (304) 882-2005
- **Practice address fax:** (304) 882-2281
- **Mailing address:** 307 5TH STREET, NEW HAVEN, WV 25265
- **Mailing address phone:** (304) 882-2005
- **Mailing address fax:** (304) 882-2281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/25/2022
- **Last updated:** 05/25/2022