# ABH PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ABH PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891739645
- **Authorized official:** MS. MARIE N PUCCINO (PHARMACY OFFICE MANAGER)
- **Authorized official phone:** (203) 315-2634

## Contact information

- **Practice address:** 189 ALPS RD, BRANFORD, CT 06405-4771
- **Practice address phone:** (203) 315-2634
- **Practice address fax:** (203) 315-2154
- **Mailing address:** 189 ALPS ROAD, BRANFORD, CT 06405
- **Mailing address phone:** (203) 315-2634
- **Mailing address fax:** (203) 315-2154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PCY.0001705 | CT | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 04/15/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004214714 | — | CT |
| 01 | — | 2002410 | PK | — |