Bunker Hill Pharmacy
LBN: Bunker Hill Pharmacy Inc
Bunker Hill Pharmacy is an health care organization with primary practice located at 256 Bunker Hill Ave , Waterbury CT 06708-2253. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Bunker Hill Pharmacy Inc can be contacted via phone (203) 574-7825, or through O'Brien, Christopher Robert via phone (203) 574-7825.
Contact Information
Primary practice address
256 Bunker Hill Ave
Waterbury CT 06708-2253
Phone: (203) 574-7825
Fax: (203) 574-4972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PCY.0000274 | Connecticut |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1649251372 |
|---|---|
| LBN Legal business name | Bunker Hill Pharmacy Inc |
| DBA Doing business as | Bunker Hill Pharmacy |
| Authorized official | O'Brien, Christopher Robert PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | May 9th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649251372 | NPPES |
| Connecticut | MEDICAID | 004027306 | |
| Connecticut | MEDICAID | 004016036 | |
| Connecticut | Other | 1998233 |
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