Healthcare Provider Details

I. General information

NPI: 1619800075
Provider Name (Legal Business Name): MEDICAL CENTER PHARMACY AND HOME CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 MIDDLESEX TPKE
OLD SAYBROOK CT
06475-1220
US

IV. Provider business mailing address

1100 SHERMAN AVE
HAMDEN CT
06514-1363
US

V. Phone/Fax

Practice location:
  • Phone: 860-388-8454
  • Fax: 860-388-8455
Mailing address:
  • Phone: 844-881-0043
  • Fax: 203-230-0679

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 TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TINA THAO DO
Title or Position: ASSOCIATE DIRECTOR
Credential: PHARMD
Phone: 203-917-2243