NPI 1306168232
Suburban Pharma INC
Practice location
- Address
- 344 N Main St, West Hartford, CT 06117-2510
- Phone
- (860) 236-3564
Authorised official
- Name
- Ravinder Rao Annamaneni
- Title
- Secretary
- Phone
- (848) 218-3530
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1306168232
- Entity type
- Organization
- NPI issued
- 19 Feb 2010
- Record last updated
- 19 Feb 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.