Organization
BURGDORF PHARMACY INC
Active
Other names
Arron Prescription Center #13
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELO DEFAZIO RPH PD (PRESIDENT CEO)
(860) 570-0543
Entity
Organization
Contact information
Practice address
131 COVENTRY STREET, 2ND FL, HARTFORD, CT 06112
(860) 286-2766
(860) 286-2981
Mailing address
500 FARMINGTON AVE, HARTFORD, CT 06105-3106
(860) 570-0543
(560) 570-0529
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
CT
332BC3200X
Customized Equipment (DME)
—
CT
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
CT
332BX2000X
Oxygen Equipment & Supplies (DME)
—
CT
333600000X
Pharmacy
01571
CT
3336C0002X
Clinic Pharmacy
Primary
01571
CT
3336C0003X
Community/Retail Pharmacy
01571
CT
3336C0004X
Compounding Pharmacy
01571
CT
3336H0001X
Home Infusion Therapy Pharmacy
01571
CT
3336I0012X
Institutional Pharmacy
01571
CT
3336L0003X
Long Term Care Pharmacy
01571
CT
3336M0002X
Mail Order Pharmacy
01571
CT
3336M0003X
Managed Care Organization Pharmacy
01571
CT
3336S0011X
Specialty Pharmacy
01571
CT
335E00000X
Prosthetic/Orthotic Supplier
—
CT
Other
Enumeration date
07/11/2005
Last updated
09/11/2025
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