Suburban Pharmacy

LBN: Suburban Pharma Inc
Suburban Pharmacy is an health care organization with primary practice located at 344 N Main St , West Hartford CT 06117-2526. 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. Suburban Pharma Inc can be contacted via phone (860) 236-3564, or through Annamaneni, Satish via phone (860) 236-3564.

Contact Information

Primary practice address
344 N Main St West Hartford CT 06117-2526
Phone: (860) 236-3564
Fax: (860) 236-7053
Website:
Map and Directions
Authorized official contact:
Name: Annamaneni, Satish
Phone: (860) 236-3564

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2051 Connecticut

Profile Details

NPI number 1639275183
LBN Legal business name Suburban Pharma Inc
DBA Doing business as Suburban Pharmacy
Authorized official Annamaneni, Satish
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 19th, 2018 - about 6 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 1639275183 NPPES
Other 2125413 PK
MEDICAID 004027215 PK

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