Organization
CONNECTICUT PHARMACARE INC
Active
Other names
FORD PHARMACY AND MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL VENDETTI (TEASURER)
(203) 723-1376
Entity
Organization
Contact information
Practice address
2 CHURCH ST, NAUGATUCK, CT 06770-4112
(203) 729-2680
(203) 720-1626
Mailing address
2 CHURCH ST, NAUGATUCK, CT 06770-4112
(203) 729-2680
(203) 720-1626
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY.0000432
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1998679
PK
—
05
—
4075776RX
—
CT
05
—
4075784DME
—
CT
Enumeration date
09/02/2006
Last updated
11/13/2014
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