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Organization
HEALTH COMPLEX MEDICAL, LLC
Active
Organization
HEALTH COMPLEX MEDICAL, LLC
Active
Other names
Health Complex Pharmacy II
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CHIEF COMPLIANCE OFFICER)
(484) 246-9499
Entity
Organization
Contact information
Practice address
84 PROGRESS LN, WATERBURY, CT 06705-3829
(203) 753-7778
(203) 346-7593
Mailing address
84 PROGRESS LN, WATERBURY, CT 06705-3829
(203) 753-7778
(203) 346-7593
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
6569
CT
333600000X
Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004244381
—
CT
01
—
0719863
NCPDP
—
01
—
1846
CT PHARMACY LICENSE
CT
Enumeration date
12/18/2006
Last updated
09/02/2025
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