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Organization

GOESHEALTH LLC

Active
Other names
MIDDLEBURY PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
GARY OUELLETTE RPH (OWNER)
(203) 758-1220
Entity
Organization

Contact information

Practice address
572 MIDDLEBURY RD, MIDDLEBURY, CT 06762-2553
(203) 758-1220
(203) 598-0178
Mailing address
PO BOX 1383, MIDDLEBURY, CT 06762-7383

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
PCY1822
CT
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0719370
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
06/18/2006
Last updated
09/11/2025
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