Organization
COMMUNITY PHARMACY INC
Active
Other names
Riverside Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PRAVEEN K DHULIPALLA (MANAGER)
(201) 270-8013
Entity
Organization
Contact information
Practice address
926 MAIN ST, EAST HARTFORD, CT 06108-2237
(201) 270-8013
Mailing address
926 MAIN ST, EAST HARTFORD, CT 06108-2237
(201) 270-8013
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PCY0002311
CT
Other
Enumeration date
04/21/2015
Last updated
02/10/2017
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