# VITORIA CONNECTICUT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Suburban LTC Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184534646
- **Authorized official:** DOUGLAS ROBERT RUSSELL RPH (CEO)
- **Authorized official phone:** (502) 817-8620

## Contact information

- **Practice address:** 342 N MAIN ST, WEST HARTFORD, CT 06117-2500
- **Practice address phone:** (502) 817-8620
- **Mailing address:** 4601 SW 25TH PL, CAPE CORAL, FL 33914-6144
- **Mailing address phone:** (502) 817-8620

## Taxonomy

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

## Other

- **Enumeration date:** 09/08/2026
- **Last updated:** 09/08/2026