Jollys Drug Store Inc

LBN: Jollys Drug Store Inc
Jollys Drug Store Inc is an health care organization with primary practice located at 762 Boston Post Rd , Madison CT 06443-3047. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Jollys Drug Store Inc can be contacted via phone (203) 245-2704, or through Genesius, Robert via phone (203) 245-2704.

Contact Information

Primary practice address
762 Boston Post Rd Madison CT 06443-3047
Phone: (203) 245-2704
Fax: (203) 245-9704
Website:
Map and Directions
Authorized official contact:
Name: Genesius, Robert RPH
Phone: (203) 245-2704

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 0725 Connecticut
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1669412318
LBN Legal business name Jollys Drug Store Inc
DBA Doing business as
Authorized official Genesius, Robert RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1669412318 NPPES
Other 0704759 OTHER ID NUMBER-COMMERCIAL NUMBER

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