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General NPI Number Information
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NPI Number | 1629876222
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Entity Type | Organization
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Legal Business Name | PHARMCARE USA OF CONNECTICUT LLC
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 770 SAYBROOK RD STE 1
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City | MIDDLETOWN
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State | CT
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Zip | 06457-4739
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Country | US
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Telephone | 860-613-5101
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12
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City | HYDRO
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State | OK
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Zip | 73048-0012
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Country | US
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Telephone | 860-613-5101
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | KENT ABBOTT
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Credential |
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Telephone | 405-204-9783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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