Organization
HEALTH COMPLEX MEDICAL, LLC
Active
Other names
Health Complex Pharmacy II
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CHIEF COMPLIANCE OFFICER)
(484) 246-9499
Entity
Organization
Contact information
Practice address
84 PROGRESS LN, WATERBURY, CT 06705-3829
(203) 753-7778
(203) 346-7593
Mailing address
84 PROGRESS LN, WATERBURY, CT 06705-3829
(203) 753-7778
(203) 346-7593
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
6569
CT
333600000X
Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004244381
—
CT
01
—
0719863
NCPDP
—
01
—
1846
CT PHARMACY LICENSE
CT
Enumeration date
12/18/2006
Last updated
09/02/2025
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