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ARROW PRESCRIPTION CENTER 12 INC NPI 1972501294


NPI Information

NPI: 1972501294
Provider Name: ARROW PRESCRIPTION CENTER 12 INC

Other Name: ARROW PRESCRIPTION CENTER #12

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 07D2205328

Address:
500 FARMINGTON AVE
HARTFORD, CT
ZIP 06105
Phone: (860) 522-9289
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ARROW PRESCRIPTION CENTER 12 INC is a pharmacy in Hartford, CT. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. ARROW PRESCRIPTION CENTER 12 INC NPI is 1972501294. The provider is registered as an organization entity type.
The provider Other Name Is Arrow Prescription Center #12.

The provider's business location address is:

500 FARMINGTON AVE
HARTFORD, CT
ZIP 06105-106
Phone: (860) 522-9289
Fax: (860) 231-7007

The provider's authorized official is Angelo Defazio .
The authorized official title is President Ceo and has the following contact phone number (860) 570-0543.

The CLIA number assigned to this NPI record is 07D2205328 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2005 and was last updated on 3/13/2017.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesCONNECTICUTNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentCONNECTICUTNo
3332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionCONNECTICUTNo
4332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesCONNECTICUTNo
53336C0002XPharmacyClinic Pharmacy0347CONNECTICUTNo
63336C0003XPharmacyCommunity/Retail Pharmacy0347CONNECTICUTNo
73336C0004XPharmacyCompounding Pharmacy0347CONNECTICUTNo
83336H0001XPharmacyHome Infusion Therapy Pharmacy0347CONNECTICUTNo
93336I0012XPharmacyInstitutional Pharmacy0347CONNECTICUTNo
103336L0003XPharmacyLong Term Care Pharmacy0347CONNECTICUTNo
113336M0002XPharmacyMail Order Pharmacy0347CONNECTICUTNo
123336M0003XPharmacyManaged Care Organization Pharmacy0347CONNECTICUTNo
133336S0011XPharmacySpecialty Pharmacy0347CONNECTICUTNo
14335E00000XProsthetic/Orthotic SupplierCONNECTICUTNo
15333600000XPharmacy0347CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004093100MEDICAIDCONNECTICUT
20571150001MEDICARE NSCCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.