Organization
WATERBURY PHARMACY LLC
Active
Other names
Waterbury Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRAVEEN K DHULIPALLA RPH (MANAGER)
(201) 270-8013
Entity
Organization
Contact information
Practice address
187 E MAIN ST, WATERBURY, CT 06702-2300
(203) 757-2000
(203) 757-2002
Mailing address
187 E MAIN ST, WATERBURY, CT 06702-2300
(203) 757-2000
(203) 757-2002
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/27/2009
Last updated
03/07/2023
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