Organization
SUBURBAN PHARMACY
Active
Parent organization
SUBURBAN PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUBURBAN PHARMACY
Authorized official
LAURENCE S RATNER (PRESIDENT)
(860) 882-1800
Entity
Organization
Contact information
Practice address
100 RETREAT AVE, HARTFORD, CT 06106-2528
(860) 236-0755
Mailing address
344 N MAIN ST, WEST HARTFORD, CT 06117-2510
(860) 882-1800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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