Organization
NATHAN HALE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK HERMAN (PRESIDENT)
(860) 873-1481
Entity
Organization
Contact information
Practice address
26 FALLS RD, MOODUS, CT 06469-1210
(860) 873-1481
(860) 873-2490
Mailing address
PO BOX 407, MOODUS, CT 06469-0407
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1028
CT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
09/20/2005
Last updated
10/16/2007
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