Organization
HIGGANUM PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY EDWARD MCKENNA (MANAGING MEMBER)
(860) 345-3607
Entity
Organization
Contact information
Practice address
23 KILLINGWORTH RD, HIGGANUM, CT 06441-4242
(860) 345-3607
(860) 345-3612
Mailing address
PO BOX 540, HIGGANUM, CT 06441-0540
(860) 345-3607
(860) 345-3612
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
02/06/2023
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