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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.

physician-icon Basic Information

Practice Location 304 W. Highway 38, Suite 102, Hartford, SD 57033-0397, US
Practice Location Phone605-528-2000
Practice Location Fax605-528-2003
Legal Business NameHARTFORD PHARMACY LLC
Other Organization NameMEDICAP PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1922041680
Entity TypeOrganization
Enumeration Date ? Jun 13, 2006
Last Update Date ? Mar 25, 2009
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Hartford Pharmacy Llc

SpecialtySpecializationLicenseLicense State
PharmacyCommunity/Retail Pharmacy 100-1873South Dakota

legacy-id-icon Legacy Provider IDs of Hartford Pharmacy Llc

Provider IdIssuer StateIssuer TypeIssuer
8504260South DakotaMedicaid
BM9274767South DakotaOtherDEA #
4353746South DakotaOtherNCPDP #

official-icon 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/PositionMEMBER MANAGER
Authorized Official Phone Number605-528-2000