# 175 MAIN STREET PHARMACY LLC

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

## Provider details

- **NPI number:** 1699612226
- **Authorized official:** SANDRA JAMRON (MANAGER)
- **Authorized official phone:** (917) 921-5838

## Contact information

- **Practice address:** 175 MAIN ST, HARTFORD, CT 06106-1818
- **Practice address phone:** (860) 856-9501
- **Practice address fax:** (860) 856-9502
- **Mailing address:** 268 POST RD, PMB 852258, FAIRFIELD, CT 06824-6220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/01/2026
- **Last updated:** 05/05/2026