Organization
CORNELL SCOTT-HILL HEALTH CORPORATION
Active
Other names
Cornell Scott-Hill Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE H SHARAFANOWICH R. PH. (DIRECTOR OF PHARMACY)
(203) 503-3178
Entity
Organization
Contact information
Practice address
428 COLUMBUS AVE, NEW HAVEN, CT 06519
(203) 503-3021
(203) 503-3108
Mailing address
428 COLUMBUS AVE, NEW HAVEN, CT 06519
(203) 503-3021
(203) 503-3108
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PCY1808
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00426272
—
CT
01
—
0719279
NCPDP
CT
01
—
PCY1808
STATE PHARMACY LICENSE #
CT
Enumeration date
05/14/2007
Last updated
03/07/2023
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