Organization
FAIR HAVEN COMMUNITY HEALTH CLINIC INC
Active
Other names
Fair Haven Community Health Care, Grand Pharmacy 111
Organization subpart
No
Provider details
NPI number
Authorized official
BAIN PATRIE (CREDENTIALING MANAGER)
(203) 777-7411
Entity
Organization
Contact information
Practice address
111 GRAND AVE, NEW HAVEN, CT 06513-3907
(203) 777-7411
Mailing address
221 W MAIN ST, BRANFORD, CT 06405-4022
(203) 871-4188
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
11/12/2024
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