Organization Name: | WEST HAVEN PHARMACY |
NPI Number: | 1437561990 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHANDRA S VIPPARLA (VICE PRESIDENT) |
Mailing Address: | 764 Campbell Ave West Haven |
State: | CT US |
Postal Code: | 065163786 |
Phone Number: | 2039747100 |
Fax Number: | 2039747103 |
NPI Enumeration Date: | 06/02/2014 |
NPI Last Update Date: | 09/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | PCY2294 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |