Charter Oak Health Center Medicaid Pharm
NPI #1730397738 in Hartford, Connecticut
Provider Information
- NPI Number
- 1730397738
- Entity Type
- Organization
- Organization Name
- Charter Oak Health Center Medicaid Pharm
- Primary Specialty
- Pharmacy - Clinic Pharmacy
- Enumeration Date
- May 21, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 21 GRAND ST
- City
- Hartford
- State
- Connecticut
- ZIP Code
- 06106-1541
- Phone
- (860) 550-7500
Authorized Official
- Name
- ALFREDA TURNER
- Title
- PRESIDENT AND CEO
- Phone
- (860) 550-7500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
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