Provider Demographics
NPI:1629551759
Name:UCONN HEALTH PHARMACY SERVICES INC
Entity Type:Organization
Organization Name:UCONN HEALTH PHARMACY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. DIR. OF HOSPITAL OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:J
Authorized Official - Last Name:METCALF
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:860-679-7943
Mailing Address - Street 1:270 FARMINGTON AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-1965
Mailing Address - Country:US
Mailing Address - Phone:860-679-4220
Mailing Address - Fax:
Practice Address - Street 1:270 FARMINGTON AVE STE 108
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-1965
Practice Address - Country:US
Practice Address - Phone:860-679-4220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UCONN HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-14
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy