Name and Address
		
			
				
					| Name | Mailing Address | License Address | 
				 
			
				
					| NEW HAVEN PHARMACY INC | NEW HAVEN PHARMACY INC 390 GRAND AVE NEW HAVEN, CT  06513-3733 | 390 GRAND AVE NEW HAVEN, CT  06513-3733 | 
				 
			
		 
	  Credential Information
		
			
				
					| Credential | License Type | Effective Date | Expiration Date | Status | Community | Infusion/Sterile Compounding | Long-Term Care | Nuclear | Specialty | 
				 
			
				
					| PCY.0002257 | PHARMACY | 09/01/2025 | 08/31/2026 | ACTIVE | Yes | No | No | No | No | 
				 
			
		 
	  Pharmacy ManagerPharmacist in charge 
		
			
				
					| Pharmacy Manager | Pharmacist Credential | Credential Status | 
				 
			
				
					| AKIL R SHAIKH | PCT.0014511 | ACTIVE | 
				 
			
		 
	  
 					    
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