Connecticut Pharmacy Direct

LBN: Connecticut Pharmacy Direct Llc
Connecticut Pharmacy Direct is an health care organization with primary practice located at 10 Fairfield Blvd Unit C , Wallingford CT 06492-5903. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Connecticut Pharmacy Direct Llc can be contacted via phone (203) 443-1213, or through Wolak, Scott via phone (203) 518-1146.

Contact Information

Primary practice address
10 Fairfield Blvd Unit C Wallingford CT 06492-5903
Phone: (203) 443-1213
Fax: (203) 443-1085
Website:
Map and Directions
Authorized official contact:
Name: Wolak, Scott
Phone: (203) 518-1146

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X NR1506 New Hampshire
Suppliers / Community/Retail Pharmacy 3336C0003X 035394 New York
Suppliers / Specialty Pharmacy 3336S0011X PHN11251 Rhode Island
Suppliers / Specialty Pharmacy 3336S0011X PCY.0002331 Connecticut

Profile Details

NPI number 1487017067
LBN Legal business name Connecticut Pharmacy Direct Llc
DBA Doing business as Connecticut Pharmacy Direct
Authorized official Wolak, Scott
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2016
Last updated Jul 19th, 2018 - about 8 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 1487017067 NPPES
Connecticut MEDICAID 008066088
Connecticut Other 2159143

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