# NUTMEG PHARMACY NEW LONDON LLC

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

## Provider details

- **NPI number:** 1891370466
- **Authorized official:** BETH-ANN LAROSA (OFFICE MANAGER)
- **Authorized official phone:** (860) 345-3607

## Contact information

- **Practice address:** 345 BROAD ST, NEW LONDON, CT 06320-3726
- **Practice address phone:** (860) 910-4909
- **Practice address fax:** (860) 910-4910
- **Mailing address:** PO BOX 540, HIGGANUM, CT 06441-0540
- **Mailing address phone:** (860) 345-3607
- **Mailing address fax:** (860) 345-3612

## Taxonomy

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

## Other

- **Enumeration date:** 03/15/2021
- **Last updated:** 07/24/2021