Meriden Community Pharmacy

LBN: Great Hills Llc
Meriden Community Pharmacy is an health care organization with primary practice located at 152 Colony St Unit A , Meriden CT 06451. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Great Hills Llc can be contacted via phone (203) 634-3000, or through Kurra, Suresh via phone (203) 906-3993.

Contact Information

Primary practice address
152 Colony St Unit A Meriden CT 06451
Phone: (203) 634-3000
Fax: (203) 634-3001
Website:
Map and Directions
Authorized official contact:
Name: Kurra, Suresh
Phone: (203) 906-3993

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PCY0002333 Connecticut

Profile Details

NPI number 1225490055
LBN Legal business name Great Hills Llc
DBA Doing business as Meriden Community Pharmacy
Authorized official Kurra, Suresh
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2016
Last updated May 3rd, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225490055 NPPES
Connecticut MEDICAID 008064627
Connecticut Other 2158990

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