Organization
TRCP LLC
Active
Other names
dba: Nutmeg Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CAILIN PETERSEN (MEMBER)
(860) 383-2013
Entity
Organization
Contact information
Practice address
3 N 2ND AVE, TAFTVILLE, CT 06380-1407
(860) 383-2013
(860) 383-2135
Mailing address
PO BOX 540, HIGGANUM, CT 06441-0540
(860) 345-3607
(860) 345-3612
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008084732
—
CT
Enumeration date
08/31/2018
Last updated
02/06/2023
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