# HANCOCK LTC

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

## Provider details

- **NPI number:** 1770972614
- **Authorized official:** MR. GREGORY HANCOCK (PRESIDENT)
- **Authorized official phone:** (203) 235-6323

## Contact information

- **Practice address:** 840 E MAIN ST STE B, MERIDEN, CT 06450-6008
- **Practice address phone:** (203) 235-0288
- **Mailing address:** 29 GRAVEL ST, MERIDEN, CT 06450-4607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 2306 | CT | Yes |

## Other

- **Enumeration date:** 01/15/2015
- **Last updated:** 02/15/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2306 | PCY | CT |