Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fair Haven Community Health Clinic Inc

Organization Community/Retail Pharmacy · NPI 1467343913

Fair Haven Community Health Clinic Inc is a Community/Retail Pharmacy in New Haven, Connecticut. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Grand Ave
New Haven, CT 06513-3907
Phone: (203) 777-7411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1467343913
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bain Patrie — Credentialing Manager · (203) 777-7411
Other names Grand Pharmacy 111
NPI enumeratedJuly 14, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 13, 2025
Mailing address111 Grand Ave, New Haven, CT 06513-3907

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