Bolton Pharmacy Inc

LBN: Bolton Pharmacy Inc
Bolton Pharmacy Inc is an health care organization with primary practice located at 667 Boston Tpke , Bolton CT 06043-7401. 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. Bolton Pharmacy Inc can be contacted via phone (860) 643-0165, or through Link, Karl via phone (860) 643-0165.

Contact Information

Primary practice address
667 Boston Tpke Bolton CT 06043-7401
Phone: (860) 643-0165
Fax: (860) 649-3783
Website:
Map and Directions
Authorized official contact:
Name: Link, Karl
Phone: (860) 643-0165

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PCY00911 Connecticut

Profile Details

NPI number 1780781070
LBN Legal business name Bolton Pharmacy Inc
DBA Doing business as Bolton Pharmacy Inc
Authorized official Link, Karl
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 4th, 2010 - about 16 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 1780781070 NPPES
Other 0702882 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 004031043 NCPDP PROVIDER IDENTIFICATION NUMBER

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