# GREAT HILLS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Meriden Community Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174245427
- **Authorized official:** SRIDHAR ALLA (MEMBER)
- **Authorized official phone:** (860) 515-6688

## Contact information

- **Practice address:** 152A COLONY ST, MERIDEN, CT 06451-3225
- **Practice address phone:** (203) 634-3000
- **Mailing address:** 152A COLONY ST, MERIDEN, CT 06451-3225
- **Mailing address phone:** (203) 634-3000

## Taxonomy

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

## Other

- **Enumeration date:** 09/14/2022
- **Last updated:** 09/14/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2333 | CT DEPARTMENT OF CONSUMER PROTECTION | CT |