CHARTER OAK HEALTH CENTER MEDICAID PHARM NPI 1730397738

NPI Information

CHARTER OAK HEALTH CENTER MEDICAID PHARM is a clinic pharmacy pharmacy in Hartford, CT. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. CHARTER OAK HEALTH CENTER MEDICAID PHARM NPI is 1730397738. The provider is registered as an organization entity type.

The provider's business location address is:

21 GRAND ST
HARTFORD, CT
ZIP 06106-541
Phone: (860) 550-7500

The provider's authorized official is Alfreda Turner .
The authorized official title is President And Ceo and has the following contact phone number (860) 550-7500.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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