Organization
AVON MEDICAL PHARMACY
Active
Organization
AVON MEDICAL PHARMACY
Active
Other names
Arrow Prescription Center #11
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELO DEFAZIO (PRESIDENT CEO)
(860) 570-0543
Entity
Organization
Contact information
Practice address
500 ALBANY AVENUE, ARROW PRESCRIPTION CENTER #11, HARTFORD, CT 06120
(860) 524-5304
(860) 524-5836
Mailing address
500 ALBANY AVENUE, ARROW PRESCRIPTION CENTER #11, HARTFORD, CT 06120
(860) 524-5304
(860) 524-5836
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01698
CT
333600000X
Pharmacy
01698
CT
3336C0003X
Community/Retail Pharmacy
01698
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134128838
NPI
CT
Enumeration date
06/01/2007
Last updated
09/11/2025
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