Organization Name: | MANCHESTER PHARMACY,LLC |
NPI Number: | 1871538280 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANIL K PULIGILLA (PHARMACY MANAGER) |
Mailing Address: | 348 Main St Manchester |
State: | CT US |
Postal Code: | 060404123 |
Phone Number: | 8606491025 |
Fax Number: | 8606490457 |
NPI Enumeration Date: | 06/19/2006 |
NPI Last Update Date: | 02/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1290 |
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 |