Charter Oak Health Center Medicaid Pharm in Hartford - Clinic Pharmacy
Charter Oak Health Center Medicaid Pharm - NPI 1730397738
Charter Oak Health Center Medicaid Pharm is a Clinic Pharmacy in Hartford, Connecticut. Charter Oak Health Center Medicaid Pharm practices all healthcare services and medical treatments related to Clinic Pharmacy. The NPI Number for Charter Oak Health Center Medicaid Pharm is 1730397738. The last update date is 2020-08-22.
Charter Oak Health Center Medicaid Pharm's current location address is 21 Grand St, Hartford, Connecticut. You can contact this provider via phone number 8605507500. The mailing address for Charter Oak Health Center Medicaid Pharm is 21 Grand St, Hartford, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Charter Oak Health Center Medicaid Pharm |
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Address | 21 Grand St, Hartford, Connecticut |
Phone Number | 8605507500 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Turner Alfreda |
Telephone Number | 8605507500 |
NPI Number Detail
NPI Number | 1730397738 |
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Provider Enumeration Date | 2007-05-21 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 21 Grand St |
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City | Hartford |
State | Connecticut (CT) |
Post Code | 61061541 |
Phone Number | 8605507500 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinic Pharmacy |
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Taxonomy | 3336C0002X |
Definition: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
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What is the unique provider identifier assigned to Charter Oak Health Center Medicaid Pharm?
The Charter Oak Health Center Medicaid Pharm has been issued the NPI (National Provider Identifier) 1730397738 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Charter Oak Health Center Medicaid Pharm is physically located?
The Charter Oak Health Center Medicaid Pharm is situated at the following address: 21 Grand St, Hartford, CT 61061541.
What is Charter Oak Health Center Medicaid Pharm's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Charter Oak Health Center Medicaid Pharm is Clinic Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 3336C0002X.
On what date did the Charter Oak Health Center Medicaid Pharm receive its 1730397738 assignment from the Centers for Medicare & Medicaid Services?
The Charter Oak Health Center Medicaid Pharm was assigned its 1730397738 by the Centers for Medicare & Medicaid Services on 2007-05-21.
As of what date were the Charter Oak Health Center Medicaid Pharm's details last updated?
The information pertaining to the Charter Oak Health Center Medicaid Pharm, including its address, specialty, and other details, was most recently updated on 2020-08-22.