# WEST HAVEN PHARMACY, LLC

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

## Provider details

- **NPI number:** 1508643370
- **Authorized official:** RAJENDRA P APPALANENI (OWNER)
- **Authorized official phone:** (917) 568-9000

## Contact information

- **Practice address:** 764 CAMPBELL AVE STE A, WEST HAVEN, CT 06516-3786
- **Practice address phone:** (203) 934-7100
- **Mailing address:** 764 CAMPBELL AVE STE A, WEST HAVEN, CT 06516-3786

## Taxonomy

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

## Other

- **Enumeration date:** 09/13/2023
- **Last updated:** 09/14/2023
