Organization
PROSPECT PHARMACY LLC
Active
Other names
prospect pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SIRISHA MALLIDI (MEMBER)
(203) 758-1111
Entity
Organization
Contact information
Practice address
166 WATERBURY RD, 302, PROSPECT, CT 06712-1200
(203) 758-1111
(203) 758-1122
Mailing address
166 WATERBURY RD, 302, PROSPECT, CT 06712-1200
(203) 758-1111
(203) 758-1122
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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