Hartford Pharmacy Llc
Hartford Pharmacy Llc is a health care provider in Hartford, SD. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 304 W. Highway 38, Suite 102, Hartford, SD 57033-0397, US |
|Practice Location Phone||605-528-2000|
|Practice Location Fax||605-528-2003|
|Legal Business Name||HARTFORD PHARMACY LLC|
|Other Organization Name||MEDICAP PHARMACY|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Jun 13, 2006|
|Last Update Date ? ||Mar 25, 2009|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Hartford Pharmacy Llc
|Specialty||Provider Type||Specialization||License||License State|
|Pharmacy||Suppliers||Community/Retail Pharmacy ||100-1873||South Dakota|
Legacy Provider IDs of Hartford Pharmacy Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
|BM9274767||South Dakota||Other||DEA #|
|4353746||South Dakota||Other||NCPDP #|
Authorized Official of Hartford Pharmacy Llc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Hartford Pharmacy Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mr. Vincent Gerard Reilly (RPH)|
|Authorized Official Title/Position||MEMBER MANAGER|
|Authorized Official Phone Number||605-528-2000|