Bolbol Llc

LBN: Bolbol Llc
Bolbol Llc is an health care organization with primary practice located at 79 East St , Vernon CT 06066-3845. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Bolbol Llc can be contacted via phone (860) 875-2507, or through Wassef, Nagy via phone (860) 875-2507.

Contact Information

Primary practice address
79 East St Vernon CT 06066-3845
Phone: (860) 875-2507
Fax: (860) 870-8160
Website:
Map and Directions
Authorized official contact:
Name: Wassef, Nagy
Phone: (860) 875-2507

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1902423882
LBN Legal business name Bolbol Llc
DBA Doing business as
Authorized official Wassef, Nagy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2020
Last updated Jun 26th, 2020 - about 6 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 1902423882 NPPES
Connecticut MEDICAID 008071088

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