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My Fair Haven Pharmacy Llc
Community/Retail Pharmacy in New Haven, Connecticut
NPI 1568839876

My Fair Haven Pharmacy Llc is a Community/Retail Pharmacy based in New Haven, CT and is specialized in Community/Retail Pharmacy. My Fair Haven Pharmacy Llc practices in New Haven, CT. The NPI Number for My Fair Haven Pharmacy Llc is 1568839876 and holds a License No. (Connecticut).

The current practice location address for My Fair Haven Pharmacy Llc is 72 Grand Ave, New Haven, CT and can be reached out via phone at 203-498-3479 and via fax at 203-498-8000.

Location: 72 Grand Ave, New Haven, CT, 06513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568839876
Provider Name
My Fair Haven Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
72 Grand Ave, New Haven, CT, 06513
Phone Number
203-498-3479
Fax Number
203-498-8000
Provider Enumeration Date
08/24/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008061384 05 CT
008064135 01 CT MEDICAID DME
institution
Provider Business Practice Location Address Details
Address
72 Grand Ave
City
New Haven
State
Connecticut
Zip
06513
Phone Number
203-498-3479
Fax Number
203-498-8000
person
Provider Business Mailing Address Details
Address
72 Grand Ave
City
New Haven
State
Connecticut
Zip
06513
Phone Number
203-498-3479
Fax Number
203-498-8000
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
PCY.0002315 (Connecticut)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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