Healthcare Provider Details

I. General information

NPI: 1962024356
Provider Name (Legal Business Name): UCONN HEALTH PHARMACY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2020
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 FARMINGTON AVE STE 108
FARMINGTON CT
06032-1965
US

IV. Provider business mailing address

270 FARMINGTON AVE STE 108
FARMINGTON CT
06032-1965
US

V. Phone/Fax

Practice location:
  • Phone: 860-679-4036
  • Fax: 860-679-0303
Mailing address:
  • Phone: 860-679-4036
  • Fax: 860-679-0303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: EMMETT J SULLIVAN
Title or Position: DIRECTOR
Credential: RPH
Phone: 860-679-4695