Organization
FORT HILL PHARMACY, INC.
Active
Parent organization
FORT HILL PHARMACY, INC.
Other names
Fort Hill Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORT HILL PHARMACY, INC.
Authorized official
MS. JENNIFER STONE RPH. (CO-OWNER)
(860) 440-7444
Entity
Organization
Contact information
Practice address
980 POQUONNOCK RD, GROTON, CT 06340-4259
(860) 440-7444
(860) 446-9127
Mailing address
980 POQUONNOCK RD, GROTON, CT 06340-4259
(860) 440-7444
(860) 446-9127
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004016077
—
CT
01
—
0305350001
MEDICARE PTAN
CT
Enumeration date
08/19/2013
Last updated
08/19/2013
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