Organization
MAIN ST CHEMISTS INC
Active
Other names
EAST MAIN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SRINIVAS DAMARAJU RPH (PHARMACIST MANAGER)
(203) 755-7200
Entity
Organization
Contact information
Practice address
2152 E MAIN ST, EAST MAIN PHARMACY, WATERBURY, CT 06705-2603
(203) 755-7200
(203) 755-7100
Mailing address
2152 E MAIN ST, WATERBURY, CT 06705-2603
(203) 755-7200
(203) 755-7100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004243664
—
CT
Enumeration date
12/18/2006
Last updated
05/08/2015
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