Organization
DIXWELL PHARMACY LLC
Active
Other names
Annex Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NAVEEN PARUPALLI (MEMBER)
(203) 281-2718
Entity
Organization
Contact information
Practice address
2380A DIXWELL AVE, HAMDEN, CT 06514
(203) 281-2718
(203) 281-2859
Mailing address
2380 DIXWELL AVE, STE A, HAMDEN, CT 06514-1847
(203) 281-6571
(203) 281-2859
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PCY.0001981
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149108
PK
—
Enumeration date
10/07/2006
Last updated
07/13/2016
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