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Organization

FAIR HAVEN COMMUNITY HEALTH CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BAIN PATRIE (CREDENTIALING MANAGER)
(203) 777-7411
Entity
Organization

Contact information

Practice address
374 GRAND AVE, NEW HAVEN, CT 06513-3733
(203) 777-7411
Mailing address
374 GRAND AVE, GRAND PHARMACY 374, NEW HAVEN, CT 06513-3733
(203) 777-7411

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
04/02/2026
Last updated
04/02/2026
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