Healthcare Provider Details

I. General information

NPI: 1790883486
Provider Name (Legal Business Name): HANCOCK PHARMACY & SURGICAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

840 E MAIN ST
MERIDEN CT
06450-6008
US

IV. Provider business mailing address

840 E MAIN ST
MERIDEN CT
06450-6008
US

V. Phone/Fax

Practice location:
  • Phone: 203-235-6323
  • Fax: 203-235-2411
Mailing address:
  • Phone: 203-235-6323
  • Fax: 203-235-2411

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 Number897
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GREG HANCOCK
Title or Position: PRESIDENT
Credential: RPH
Phone: 203-235-6323