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NPI Code Detail

MEDICARE: UCONN HEALTH PHARMACY SERVICES INC

MEDICARE: UCONN HEALTH PHARMACY SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist

General Provider Information

NPI Number : 1205775590
Entity Type Code : Organization
Provider Name (Legal Business Name) : UCONN HEALTH PHARMACY SERVICES INC
Provider Business Mailing Address
First Line : 270 FARMINGTON AVE STE 102
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-1920
Country : US
Telephone Number : 860-679-4695
Fax Number :
Provider Business Practice Location Address
First Line : 100 HOSPITAL DRIVE
Second Line : SUITE LM079
City : FARMINGTON
State : CT
Zip : 06030-0001
Country : US
Telephone Number : 860-679-4695
Fax Number :
Authorized Official
Title or Position : DIRECTOR, PHARMACY MANAGER
Name : EMMETT J SULLIVAN
Credential : RPH
Telephone Number : 860-679-4695
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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Directions to “UCONN HEALTH PHARMACY SERVICES INC ” Practice Location

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