Greenville Drug Store Inc

LBN: Greenville Drug Store Inc
Greenville Drug Store Inc is an health care organization with primary practice located at 213 Central Ave , Norwich CT 06360-3801. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Greenville Drug Store Inc can be contacted via phone (860) 889-9857, or through Lord, Lori via phone (860) 889-9857.

Contact Information

Primary practice address
213 Central Ave Norwich CT 06360-3801
Phone: (860) 889-9857
Fax: (860) 886-0950
Website:
Map and Directions
Authorized official contact:
Name: Lord, Lori RPH
Phone: (860) 889-9857

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PCY.0000731 Connecticut

Profile Details

NPI number 1366546087
LBN Legal business name Greenville Drug Store Inc
DBA Doing business as Greenville Drug Store Inc
Authorized official Lord, Lori RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
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 1366546087 NPPES
Connecticut MEDICAID 004030045
Connecticut Other 1998702

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