Healthcare Provider Details

I. General information

NPI: 1124326251
Provider Name (Legal Business Name): ARROW PRESCRIPTION CENTER #10 INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2011
Last Update Date: 03/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 NORTH STREET SUITE 104
DANBURY CT
06810
US

IV. Provider business mailing address

500 FARMINGTON AVE
HARTFORD CT
06105-3106
US

V. Phone/Fax

Practice location:
  • Phone: 860-570-0543
  • Fax:
Mailing address:
  • Phone: 860-570-0543
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ANGELO DEFAZIO
Title or Position: PRESIDENT/CEO
Credential: RPH P.D.
Phone: 860-570-0543