Organization
MANCHESTER PHARMACY,LLC
Active
Other names
Manchester Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANIL K PULIGILLA R.PH. (PHARMACY MANAGER)
(860) 649-1025
Entity
Organization
Contact information
Practice address
348 MAIN ST, MANCHESTER, CT 06040-4123
(860) 649-1025
(860) 649-0457
Mailing address
348 MAIN ST, MANCHESTER, CT 06040-4123
(860) 649-1025
(860) 649-0457
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1290
CT
333600000X
Pharmacy
Primary
1290
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008002078
—
CT
Enumeration date
06/19/2006
Last updated
02/18/2009
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