MEDICARE: HARTCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1861046658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARTCARE LLC

Provider Business Mailing Address
First Line	:	753 MAPLE AVE
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06114-2315
Country	:	US
Telephone Number	:	860-263-8585
Fax Number	:	860-904-5010

Provider Business Practice Location Address
First Line	:	753 MAPLE AVE
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06114-2315
Country	:	US
Telephone Number	:	860-263-8585
Fax Number	:	860-904-5010

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. VIJAYA K KOLLU
Credential	:
Telephone Number	:	608-263-8585

Provider Enumeration Date	:	07/30/2019
Last Update Date	:	10/26/2024

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Directions to “HARTCARE LLC ” Practice Location

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