Organization · Type 2 NPI

Hancock Pharmacy II LLC

Community/Retail Pharmacy · Bridgeport, CT

NPI number 1154645356 Active · reactivated Nov 20, 2020

Practice location

1020 Fairfield Ave
Bridgeport, CT 06605-1187

Fax (203) 576-9010

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	PCY.0002165 (CT)
Community/Retail Pharmacy Primary	3336C0003X	PCY.0002165 (CT)

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 …

2 other providers at this address

Other community/retail pharmacy providers in Bridgeport

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NPI record

NPI: 1154645356
Entity type: Organization (Type 2)
Issued: Mar 17, 2010
Last updated: Mar 7, 2023
Status: Active

Other names

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Hancock Pharmacy II · doing business as
Hancock Pharmacy II · doing business as

Authorized official

Ms. Rama Lakshmi Devadi, RPH
Pharmacy Manager Aka SP
(203) 576-9000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154645356

Hancock Pharmacy II LLC's National Provider Identifier is 1154645356, issued on Mar 17, 2010. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Bridgeport, CT. The record was last updated on Mar 7, 2023.