Organization
PHARMACYATBBSQUARE LLC
Active
Other names
Pharmacy at Blue Back
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHOSHANA KATAYEV PHARMD (PHARMACIST)
(860) 656-6229
Entity
Organization
Contact information
Practice address
55 ISHAM RD, WEST HARTFORD, CT 06107-2205
(860) 656-6229
(860) 968-0013
Mailing address
55 ISHAM RD, WEST HARTFORD, CT 06107-2205
(860) 656-6229
(860) 968-0013
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/18/2021
Last updated
01/08/2026
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