Organization
ATWATER PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANTHENA VARMA (MEMBER)
(203) 923-3229
Entity
Organization
Contact information
Practice address
135 GRAND AVE, NEW HAVEN, CT 06513-3939
(203) 923-3229
Mailing address
72 GRAND AVE, NEW HAVEN, CT 06513-3997
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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