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General NPI Number Information
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NPI Number | 1205775590
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Entity Type | Organization
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Legal Business Name | UCONN HEALTH PHARMACY SERVICES INC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 100 HOSPITAL DRIVE SUITE LM079
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City | FARMINGTON
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State | CT
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Zip | 06030-0001
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Country | US
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Telephone | 860-679-4695
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Fax |
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Provider Business Mailing Address
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Address Line | 270 FARMINGTON AVE STE 102
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City | FARMINGTON
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State | CT
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Zip | 06032-1920
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Country | US
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Telephone | 860-679-4695
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, PHARMACY MANAGER
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Name | EMMETT J SULLIVAN
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Credential | RPH
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Telephone | 860-679-4695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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