Organization
HANCOCK PHARMACY VII LLC
Active
Other names
HANCOCK PHARMACY VII
Organization subpart
No
Provider details
NPI number
Authorized official
LALITHA PASUPULETI (MEMBER / PHARMACIST IN CHARGE (PIC))
(203) 776-7100
Entity
Organization
Contact information
Practice address
306 GRAND AVE, NEW HAVEN, CT 06513-3730
(203) 776-7100
(203) 776-7102
Mailing address
306 GRAND AVE, NEW HAVEN, CT 06513-3730
(203) 776-7100
(203) 776-7102
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PCY.0002174
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008017235
—
CT
01
—
0721995
NCPDP
—
01
—
2124970
PK
—
01
—
PCY.0002174
BOARD OF PHARMACY
CT
Enumeration date
05/04/2010
Last updated
03/07/2023
Update your record
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