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General NPI Number Information
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NPI Number | 1619800075
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Entity Type | Organization
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Legal Business Name | MEDICAL CENTER PHARMACY AND HOME CARE CENTER, INC.
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 633 MIDDLESEX TPKE
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City | OLD SAYBROOK
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State | CT
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Zip | 06475-1220
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Country | US
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Telephone | 860-388-8454
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Fax | 860-388-8455
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Provider Business Mailing Address
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Address Line | 1100 SHERMAN AVE
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City | HAMDEN
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State | CT
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Zip | 06514-1363
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Country | US
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Telephone | 844-881-0043
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Fax | 203-230-0679
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Authorized Official
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Title or Position | ASSOCIATE DIRECTOR
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Name | TINA THAO DO
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Credential | PHARMD
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Telephone | 203-917-2243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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