Organization
SUBURBAN PHARMA INC
Active
Other names
SUBURBAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAVINDER RAO ANNAMANENI (SECRETARY)
(848) 218-3530
Entity
Organization
Contact information
Practice address
344 N MAIN ST, WEST HARTFORD, CT 06117-2510
(860) 236-3564
Mailing address
344 N MAIN ST, WEST HARTFORD, CT 06117-2510
(860) 236-3564
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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