Healthcare Provider Details

I. General information

NPI: 1588779847
Provider Name (Legal Business Name): THATCHER'S PHARMCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 INDEPENDENCE DRIVE
MARLBOROUGH CT
06447
US

IV. Provider business mailing address

6 INDEPENDENCE DRIVE
MARLBOROUGH CT
06447
US

V. Phone/Fax

Practice location:
  • Phone: 860-295-9525
  • Fax: 860-295-0168
Mailing address:
  • Phone: 860-295-9525
  • Fax: 860-295-0168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number1018
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ROBERT J BERLIN
Title or Position: PRESIDENT
Credential: RPH
Phone: 203-295-9525