Organization
HANCOCK PHARMACY III, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJENDRA P APPALANENI (MEMBER)
(917) 568-9000
Entity
Organization
Contact information
Practice address
3768 MAIN ST, BRIDGEPORT, CT 06606-3610
(917) 568-9000
Mailing address
3768 MAIN ST, BRIDGEPORT, CT 06606-3610
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
CT
3336C0003X
Community/Retail Pharmacy
Primary
PCY.0002256
CT
Other
Enumeration date
12/04/2012
Last updated
11/20/2020
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