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Organization

SEYBRIDGE PHARMACY INC

Active
Other names
SEYBRIDGE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
LUIS VILLEGAS (MANAGER)
(203) 888-0073
Entity
Organization

Contact information

Practice address
37 NEW HAVEN RD, SEYMOUR, CT 06483-3460
(203) 888-0073
(203) 888-2932
Mailing address
37 NEW HAVEN RD, SEYMOUR, CT 06483-3460
(203) 888-0073
(203) 888-2932

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PCY.0001292
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004069167
CT
05
004069175
CT
01
0712162
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
05/02/2006
Last updated
03/07/2025
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