Organization
SIRA PHARMACY LLC
Active
Other names
The Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MAYUR PATEL (PRESIDENT)
(203) 327-4479
Entity
Organization
Contact information
Practice address
296 BEDFORD ST, STAMFORD, CT 06901-1720
(203) 327-4479
(203) 975-0427
Mailing address
296 BEDFORD ST, STAMFORD, CT 06901-1720
(203) 327-4479
(203) 975-0427
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0001772
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134351
PK
—
Enumeration date
01/21/2012
Last updated
07/05/2016
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