Organization
HARTFORD PHARMACY II INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAVEEN K DHULIPALL (V. PRESIDENT)
(201) 270-8013
Entity
Organization
Contact information
Practice address
57 PARK ST, HARTFORD, CT 06106-2520
(860) 244-2222
(860) 244-2202
Mailing address
57 PARK ST, HARTFORD, CT 06106-2520
(860) 244-2222
(860) 244-2202
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008072753
—
CT
01
—
0724369
NCPDP
—
01
—
2167253
PK
—
01
—
PCY.0002349
BOARD OF PHARMACY
CT
Enumeration date
02/14/2017
Last updated
03/07/2023
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