Suburban Pharmacy Ltc Inc

LBN: Suburban Pharmacy Ltc Inc
Suburban Pharmacy Ltc Inc is an health care organization with primary practice located at 342 N Main St Ste 70, West Hartford CT 06117-2500. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Suburban Pharmacy Ltc Inc can be contacted via phone (860) 882-1808, or through Annamaneni, Satish via phone (860) 882-1808.

Contact Information

Primary practice address
342 N Main St Ste 70 West Hartford CT 06117-2500
Phone: (860) 882-1808
Fax: (860) 882-1791
Website:
Map and Directions
Authorized official contact:
Name: Annamaneni, Satish RPH
Phone: (860) 882-1808

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X 2051 Connecticut

Profile Details

NPI number 1932236775
LBN Legal business name Suburban Pharmacy Ltc Inc
DBA Doing business as Suburban Pharmacy Ltc Inc
Authorized official Annamaneni, Satish RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Sep 17th, 2010 - about 14 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 1932236775 NPPES
Other 0720690 NCPDP PROVIDER IDENTIFICATION NUMBER

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