# SSV PHARMACY 1

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arrow Prescription Center \#12 Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609346576
- **Authorized official:** MRS. SANDHYA KANTAMANENI (OWNER)
- **Authorized official phone:** (860) 522-9289

## Contact information

- **Practice address:** 500 FARMINGTON AVE, HARTFORD, CT 06105-3106
- **Practice address phone:** (860) 982-7303
- **Mailing address:** 500 FARMINGTON AVE, HARTFORD, CT 06105-3106
- **Mailing address phone:** (860) 570-0543
- **Mailing address fax:** (860) 570-0529

## Taxonomy

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

## Other

- **Enumeration date:** 12/04/2018
- **Last updated:** 02/24/2020