Organization
MAIN STREET PHARMACY INC
Active
Other names
main street pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAVEENDRA REDDY BOMMU (PRESIDENT)
(203) 919-3124
Entity
Organization
Contact information
Practice address
421 PARK ST, HARTFORD, CT 06106-1534
(860) 200-0909
(860) 200-0707
Mailing address
421 PARK ST, HARTFORD, CT 06106-1534
(860) 200-0909
(860) 200-0707
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
08/27/2021
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