# DIXWELL PHARMACY LLC

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

## Provider details

- **NPI number:** 1710074901
- **Authorized official:** NAVEEN PARUPALLI (MEMBER)
- **Authorized official phone:** (203) 281-2718

## Contact information

- **Practice address:** 2380A DIXWELL AVE, HAMDEN, CT 06514
- **Practice address phone:** (203) 281-2718
- **Practice address fax:** (203) 281-2859
- **Mailing address:** 2380 DIXWELL AVE, STE A, HAMDEN, CT 06514-1847
- **Mailing address phone:** (203) 281-6571
- **Mailing address fax:** (203) 281-2859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PCY.0001981 | CT | Yes |

## Other

- **Enumeration date:** 10/07/2006
- **Last updated:** 07/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2149108 | PK | — |