# DANIELSON PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Danielson pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831725316
- **Authorized official:** SANDHYA RANI KANTAMANENI (MEMBER)
- **Authorized official phone:** (732) 414-1977

## Contact information

- **Practice address:** 77 WESTCOTT RD, DANIELSON, CT 06239-2929
- **Practice address phone:** (860) 774-0050
- **Practice address fax:** (860) 774-0060
- **Mailing address:** 77 WESTCOTT RD, DANIELSON, CT 06239-2929
- **Mailing address phone:** (860) 774-0050

## Taxonomy

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

## Other

- **Enumeration date:** 03/17/2020
- **Last updated:** 03/17/2020