Organization
HANCOCK PHARMACY VI LLC
Active
Other names
HANCOCK PHARMACY VI
Organization subpart
No
Provider details
NPI number
Authorized official
SAIKRISHNA CHALASANI (MEMBER)
(203) 734-8900
Entity
Organization
Contact information
Practice address
95 WAKELEE AVE, ANSONIA, CT 06401-1151
(203) 734-8900
(203) 734-8903
Mailing address
95 WAKELEE AVE, ANSONIA, CT 06401-1151
(203) 734-8900
(203) 734-8903
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PCY.0002176
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008021293
—
CT
01
—
2124969
PK
—
Enumeration date
04/29/2010
Last updated
04/24/2017
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