Organization
CANAAN APOTHECARY LLC
Active
Other names
CANAAN APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE LAROCHE (OWNER)
(860) 435-4006
Entity
Organization
Contact information
Practice address
11 E MAIN ST, CANAAN, CT 06018-2509
(860) 824-8000
(860) 824-7864
Mailing address
PO BOX 566, SALISBURY, CT 06068-0566
(860) 435-4006
(860) 435-4604
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PCY1978
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004264587
—
CT
01
—
0720676
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/31/2006
Last updated
07/08/2009
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