Organization
DURHAM PHARMCO INC
Active
Other names
DURHAM HEALTHMART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER DOUGLASS RPH (PRESIDENT)
(860) 349-3478
Entity
Organization
Contact information
Practice address
321 MAIN ST, DURHAM, CT 06422-1614
(860) 349-3478
(860) 349-1240
Mailing address
321 MAIN ST, DURHAM, CT 06422-1614
(860) 349-3478
(860) 349-1240
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY0000191
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004093481
—
CT
01
—
1999590
PK
—
Enumeration date
08/03/2006
Last updated
11/29/2016
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