Organization Name: | PROCARE LTC PHARMACY OF CONNECTICUT LLC |
NPI Number: | 1174807002 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAJIV DHADWAL (CHIEF COMPLIANCE OFFICER) |
Mailing Address: | 1492 Highland Ave Ste 1c Cheshire |
State: | CT US |
Postal Code: | 064101287 |
Phone Number: | 2034399099 |
Fax Number: | 6319633990 |
NPI Enumeration Date: | 10/11/2011 |
NPI Last Update Date: | 05/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | 031744 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |