Organization
DANIELSON PHARMACY LLC
Active
Other names
Danielson pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SANDHYA KANTAMANENI (MEMBER)
(860) 774-0050
Entity
Organization
Contact information
Practice address
77 WESTCOTT RD, DANIELSON, CT 06239-2929
(860) 774-0050
(860) 774-0060
Mailing address
77 WESTCOTT RD, DANIELSON, CT 06239-2929
(860) 774-0050
(860) 774-0060
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY.0002356
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169644
PK
—
Enumeration date
05/23/2017
Last updated
03/14/2020
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