Organization
BRIDGEPORT CHEMISTS INC
Active
Other names
HANCOCK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAJENDRA APPALANENI RPH (PRESIDENT)
(203) 367-4571
Entity
Organization
Contact information
Practice address
1407 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1928
(203) 367-4571
(203) 368-4872
Mailing address
1407 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1928
(203) 367-4571
(203) 368-4872
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY000591
CT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004216786
—
CT
01
—
1998416
PK
—
Enumeration date
09/20/2006
Last updated
03/22/2016
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