Organization
FAIR HAVEN COMMUNITY HEALTH CLINIC, INC
Active
Other names
Grand Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VEENA KAPADIA (BUSINESS DEVELOPMENT ASSOCIATE)
(203) 777-7411
Entity
Organization
Contact information
Practice address
221 W MAIN ST, BRANFORD, CT 06405-4022
(203) 974-5365
(877) 580-1279
Mailing address
374 GRAND AVE, NEW HAVEN, CT 06513-3733
(203) 974-5365
(877) 580-1279
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
05/08/2023
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