Organization
HEBRON PHARMACY, INC.
Active
Other names
HEBRON PHARMACY, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
HAYDEN HOUSTON (PRESIDENT)
(860) 228-3888
Entity
Organization
Contact information
Practice address
117 MAIN ST, HEBRON, CT 06248-1519
(860) 228-3888
(860) 228-3391
Mailing address
PO BOX 155, HEBRON, CT 06248-0155
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY.0001062
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004031720
—
CT
05
—
004063095
—
CT
01
—
0708137
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/20/2006
Last updated
07/18/2011
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