<Unavail>

LBN: Beacon Falls Pharmacy, Llc
<Unavail> is an health care organization with primary practice located at 20 N Main St , Beacon Falls CT 06403-1131. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Beacon Falls Pharmacy, Llc can be contacted via phone (203) 729-4567, or through Bradley, Robert via phone (203) 729-4567.

Contact Information

Primary practice address
20 N Main St Beacon Falls CT 06403-1131
Phone: (203) 729-4567
Fax: (203) 729-4573
Website:
Map and Directions
Authorized official contact:
Name: Bradley, Robert
Phone: (203) 729-4567

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PCY2015 Connecticut

Profile Details

NPI number 1851317705
LBN Legal business name Beacon Falls Pharmacy, Llc
DBA Doing business as <Unavail>
Authorized official Bradley, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated Jan 18th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851317705 NPPES
Connecticut MEDICAID 004253548
Connecticut Other 2002743

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