Manchester Pharmacy

LBN: Manchester Pharmacy,Llc
Manchester Pharmacy is an health care organization with primary practice located at 348 Main St , Manchester CT 06040-4123. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Manchester Pharmacy,Llc can be contacted via phone (860) 649-1025, or through Puligilla, Anil K via phone (860) 649-1025.

Contact Information

Primary practice address
348 Main St Manchester CT 06040-4123
Phone: (860) 649-1025
Fax: (860) 649-0457
Website:
Map and Directions
Authorized official contact:
Name: Puligilla, Anil K R.PH.
Phone: (860) 649-1025

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 1290 Connecticut
Suppliers / Pharmacy 333600000X 1290 Connecticut

Profile Details

NPI number 1871538280
LBN Legal business name Manchester Pharmacy,Llc
DBA Doing business as Manchester Pharmacy
Authorized official Puligilla, Anil K R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Feb 18th, 2009 - about 17 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 1871538280 NPPES
Connecticut MEDICAID 008002078

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