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PRICE CHOPPER INC

Specialty Pharmacy

Middletown, Connecticut

Provider NPI: 1750605895

Organization Information:
Organization Name:  PRICE CHOPPER INC


Practice Location:
855 WASHINGTON ST  MIDDLETOWN, CT 06457 US
Tel: 860-740-7707  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
N3336S0011XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
CTPCY.2180

Other Provider Identifiers:

IssuerNumberStateType
PK212417001
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




PHARMACY JOBS CT - Page 1



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