Organization
HANCOCK PHARMACY II LLC
Active
Other names
Hancock Pharmacy II
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAMA LAKSHMI DEVADI RPH (PHARMACY MANAGER AKA SP)
(203) 576-9000
Entity
Organization
Contact information
Practice address
1020 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1187
(203) 576-9000
(203) 576-9010
Mailing address
1020 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1187
(203) 576-9000
(203) 576-9005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PCY.0002165
CT
3336C0003X
Community/Retail Pharmacy
Primary
PCY.0002165
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154645356
NPI
CT
01
—
721882
NCPDP
CT
01
—
PCY.0002165
BOARD OF PHARMACY
CT
Enumeration date
03/17/2010
Last updated
03/07/2023
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