Organization · Type 2 NPI

Fair Haven Community Health Clinic Inc

Community/Retail Pharmacy · New Haven, CT

NPI number 1346984838 Active

Practice location

111 Grand Ave
New Haven, CT 06513-3907

Call (203) 777-7411 Map

Mailing address

221 W Main St
Branford, CT 06405-4022

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

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 …

Another provider at this address

Fair Haven Community Health Clinic Inc.Community/Retail Pharmacy New Haven, CT NPI 1467343913

Other community/retail pharmacy providers in New Haven

See all in New Haven →

NPI record

NPI: 1346984838
Entity type: Organization (Type 2)
Issued: Apr 21, 2022
Last updated: Nov 12, 2024
Status: Active

Other names

<unavail>
Fair Haven Community Health Care · doing business as
Grand Pharmacy 111 · doing business as
Grand Pharmacy 111 · doing business as

Authorized official

Bain Patrie
Credentialing Manager
(203) 777-7411

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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 1346984838

Fair Haven Community Health Clinic Inc's National Provider Identifier is 1346984838, issued on Apr 21, 2022. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in New Haven, CT. The record was last updated on Nov 12, 2024.