Organization
PHARMACITY LLC
Active
Other names
STORRS DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
NAUFEL TAJUDEEN (OWNER)
(732) 766-1151
Entity
Organization
Contact information
Practice address
1232 STORRS RD, STE 6, STORRS MANSFIELD, CT 06268-2232
(860) 429-9365
(860) 429-0043
Mailing address
1232 STORRS RD, STE 6, STORRS MANSFIELD, CT 06268-2232
(860) 429-9365
(860) 429-0043
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PCY0000645
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0720979
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
500000216
—
CT
Enumeration date
12/17/2007
Last updated
07/15/2009
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