Organization
HANCOCK LTC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY HANCOCK (PRESIDENT)
(203) 235-6323
Entity
Organization
Contact information
Practice address
840 E MAIN ST STE B, MERIDEN, CT 06450-6008
(203) 235-0288
Mailing address
29 GRAVEL ST, MERIDEN, CT 06450-4607
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
2306
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2306
PCY
CT
Enumeration date
01/15/2015
Last updated
02/15/2021
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