Organization
MEDICAL CENTER PHARMACY AND HOME CARE CENTER, INC.
Active
Other names
Apothecary and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS LARIVIERE PHARMD (ASSOCIATE DIRECTOR)
(203) 747-7589
Entity
Organization
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-4076
(203) 867-5593
Mailing address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-4076
(203) 867-5593
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY.0002086
CT
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008043215
—
CT
01
—
2138640
PK
—
Enumeration date
02/27/2007
Last updated
05/12/2022
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