CT VALLEY HOSPITAL PHARMACY - ADDICTION SERVICES DIVISION (Credential# 1229038) is licensed (Controlled Substance Registration for Hospitals) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CT VALLEY HOSPITAL PHARMACY - ADDICTION SERVICES DIVISION is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057351-HOSP. The credential type is controlled substance registration for hospitals. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 87 Holmes Drive, Middletown, CT 06457-3937. The current status is active.
| Licensee Name | CT VALLEY HOSPITAL PHARMACY - ADDICTION SERVICES DIVISION |
| Business Name | CT VALLEY HOSPITAL PHARMACY - ADDICTION SERVICES DIVISION |
| Credential ID | 1229038 |
| Credential Number | CSP.0057351-HOSP |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS |
| Credential SubCategory | HOSP |
| Business Address |
87 Holmes Drive Middletown CT 06457-3937 |
| Business Type | BUSINESS |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-06-20 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-07 |
| Street Address | 87 HOLMES DRIVE |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3937 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Connecticut Valley Hospital | 87 Holmes Drive, Middletown, CT 06457-3937 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashwin Sura | 26 Holmes Dr, Middletown, CT 06457-3937 | Physician/surgeon | 1984-07-02 ~ 1988-08-30 |
| Whiting Forensic Hospital | 70 Holmes Dr, Middletown, CT 06457-3937 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Connecticut Valley Hospital · Addiction Services Division | Addiction Services Division, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2003-02-06 ~ 2004-02-28 |
| Connecticut Valley Hospital | Merritt Hall Addiction Servs Div, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Community Prevention and Addiction Services Inc. · Transitions Outpatient Services/thomas Murphy Center | 1491 West Main St, Willimantic, CT 06226 | Substance Abuse | 2009-04-01 ~ 2011-03-31 |
| Community Prevention and Addiction Services Inc. · Transitions Outpatient Services | 587 Middle Tpke E, Manchester, CT 06040-3731 | Substance Abuse | 2010-05-18 ~ 2012-03-31 |
| Community Prevention and Addiction Services Inc. · Transitions Outpatient Services | 37 Commerce Avenue, Danielson, CT 06239 | Substance Abuse | 2009-04-01 ~ 2011-03-31 |
| Community Prevention and Addiction Services Inc. · Milestone/new Life Center/pathways | 391 Pomfret Street, Putnam, CT 06260 | Substance Abuse | 2010-07-01 ~ 2012-06-30 |
| Connecticut Valley Hospital | 87 Holmes Drive, Middletown, CT 06457-3937 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Multicultural Ambulatory Addiction Services | 426 East St, New Haven, CT 06511-5018 | Outpatient Clinic | 2019-01-01 ~ 2021-12-31 |
| A & S Addiction Services Inc | 1183 N Main St, Waterbury, CT 06704-3115 | Public Charity-exempt From Financial Requirements | 2017-09-27 ~ |
| Community Prevention and Addiction Services Inc. · Transitions Outpatient Services/thomas Murphy Center | 1491 West Main Street, Willimantic, CT 06226 | Psychiatric Outpatient Clinic | 2007-04-01 ~ 2009-03-31 |
Please comment or provide details below to improve the information on CT VALLEY HOSPITAL PHARMACY - ADDICTION SERVICES DIVISION.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).