Organization
GAYLORD HOSPITAL, INC.
Active
Other names
GAYLORD HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ELDON IVY MD (CMO)
(203) 284-2802
Entity
Organization
Contact information
Practice address
50 GAYLORD FARM RD, WALLINGFORD, CT 06492-2899
(203) 284-2800
Mailing address
50 GAYLORD FARM RD, WALLINGFORD, CT 06492-2828
(203) 284-2800
(203) 284-2998
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
CSP.0012032
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1999529
PK
—
Enumeration date
09/10/2007
Last updated
07/29/2026
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