Organization
FORT HILL PHARMACY INC
Active
Other names
FORT HILL PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFEREY MESSINA RPH (PRESIDENT)
(860) 445-6431
Entity
Organization
Contact information
Practice address
116 FORT HILL RD, GROTON, CT 06340-4335
(860) 445-6431
(860) 446-0530
Mailing address
116 FORT HILL RD, GROTON, CT 06340-4335
(860) 445-6431
(860) 446-0530
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0285
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004027389
—
CT
01
—
0708543
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/15/2006
Last updated
06/25/2010
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