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Contact Information

STATE OF CONNECTICUT
263 FARMINGTON AVENUE
FARMINGTON, CT06030-2205
 Phone: 860-679-2281
 Fax: 860-679-1231
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for STATE OF CONNECTICUT

NPI # 1649008913
LBN Legal business name STATE OF CONNECTICUT
Authorized official TANIA REIS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/26/2024
Last updated 07/26/2024 - More than a year ago
Identifiers n/a
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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