Organization
HARTFORD PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRAVEEN K DHULIPALLA RPH (OWNER)
(860) 422-8888
Entity
Organization
Contact information
Practice address
531 PARK ST, HARTFORD, CT 06106-1518
(860) 422-8888
(860) 422-8880
Mailing address
531 PARK ST, HARTFORD, CT 06106-1518
(860) 422-8888
(860) 422-8880
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY 002255
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008043295
—
CT
05
—
7316220001
—
CT
Enumeration date
12/04/2012
Last updated
11/21/2023
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