Connecticut Pharmacy
LBN: Connecticut Pharmacy Llc
Connecticut Pharmacy is an health care organization with primary practice located at 664 Main Ave Unit B101-102 , Norwalk CT 06851-1162. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Connecticut Pharmacy Llc can be contacted via phone (203) 939-1790, or through Wolak, Scott via phone (203) 518-1146.
Contact Information
Primary practice address
664 Main Ave Unit B101-102
Norwalk CT 06851-1162
Phone: (203) 939-1790
Fax: (203) 939-1789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 0002254 | Connecticut |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1063757631 |
|---|---|
| LBN Legal business name | Connecticut Pharmacy Llc |
| DBA Doing business as | Connecticut Pharmacy |
| Authorized official | Wolak, Scott RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 7th, 2012 |
| Last updated | Oct 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063757631 | NPPES |
| Other | 0722973 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 008043469 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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