Organization
APPLE VALLEY PHARMACY, LLC
Active
Other names
Apple Valley Pharmacy& Gifts
Organization subpart
No
Provider details
NPI number
Authorized official
SRIDHAR ALLA (MANAGING MEMBER)
(860) 515-6688
Entity
Organization
Contact information
Practice address
1 N MAIN ST, SOUTHINGTON, CT 06489-2518
(860) 515-6688
Mailing address
1 N MAIN ST, SOUTHINGTON, CT 06489-2518
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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