Prospect Pharmacy LLC
NPI #1750707725 in Prospect, Connecticut
Provider Information
- NPI Number
- 1750707725
- Entity Type
- Organization
- Organization Name
- Prospect Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 13, 2014
- Last Updated
- Mar 13, 2014
Practice Location
- Address
- 166 WATERBURY RD
- Address 2
- 302
- City
- Prospect
- State
- Connecticut
- ZIP Code
- 06712-1200
- Phone
- (203) 758-1111
Authorized Official
- Name
- MISS SIRISHA MALLIDI
- Title
- MEMBER
- Phone
- (203) 758-1111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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