MY FAIR HAVEN PHARMACY LLC

Community/Retail Pharmacy

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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Contact Information

MY FAIR HAVEN PHARMACY LLC

72 GRAND AVE
NEW HAVEN, CT 06513

Phone: 203-498-3479
Fax: 203-498-8000
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company

Indicates primary specialty

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NPI Profile & details for MY FAIR HAVEN PHARMACY LLC

NPI # 1568839876

LBN Legal business name MY FAIR HAVEN PHARMACY LLC

Authorized official MANTHENA VARMA - (MEMBER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/24/2015

Last updated 04/01/2016 - About 10 years ago

Identifiers

CT	License #	PCY.0002315
CT	Medicaid	008061384
CT	Other	008064135	MEDICAID DME

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MY FAIR HAVEN PHARMACY LLC

Contact Information

Specialty

Community/Retail Pharmacy

Durable Medical Equipment & Medical Supplies

NPI Profile & details for MY FAIR HAVEN PHARMACY LLC

Reviews for MY FAIR HAVEN PHARMACY LLC