Healthcare Provider Details

I. General information

NPI: 1184803231
Provider Name (Legal Business Name): SUBURBAN PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2007
Last Update Date: 10/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 RETREAT AVE
HARTFORD CT
06106-2528
US

IV. Provider business mailing address

344 N MAIN ST
WEST HARTFORD CT
06117-2510
US

V. Phone/Fax

Practice location:
  • Phone: 860-236-0755
  • Fax:
Mailing address:
  • Phone: 860-882-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: LAURENCE S RATNER
Title or Position: PRESIDENT
Credential:
Phone: 860-882-1800