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Organization
GREAT HILLS LLC
Active
Organization
GREAT HILLS LLC
Active
Other names
Meriden Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SRIDHAR ALLA (MEMBER)
(860) 515-6688
Entity
Organization
Contact information
Practice address
152A COLONY ST, MERIDEN, CT 06451-3225
(203) 634-3000
Mailing address
152A COLONY ST, MERIDEN, CT 06451-3225
(203) 634-3000
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2333
CT DEPARTMENT OF CONSUMER PROTECTION
CT
Enumeration date
09/14/2022
Last updated
09/14/2022
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