Organization
MEDICAL CENTER PHARMACY AND HOME CARE CENTER, INC.
Active
Parent organization
MEDICAL CENTER PHARMACY AND HOME (
Other names
Yale New Haven Health Home Infusion
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL CENTER PHARMACY AND HOME (
Authorized official
NICHOLAS RONALD LARIVIERE (ASSOCIATE DIRECTOR)
(860) 965-8918
Entity
Organization
Contact information
Practice address
600 DERBY AVE, WEST HAVEN, CT 06516
(866) 497-9644
Mailing address
1100 SHERMAN AVE, HAMDEN, CT 06514-1363
(866) 497-9644
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
11/06/2019
Last updated
12/22/2022
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