Main Street Pharmacy
LBN: Main Street Pharmacy 2 Llc
Main Street Pharmacy is an health care organization with primary practice located at 345 Main St Ste 7 , Danbury CT 06810-5847. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Main Street Pharmacy 2 Llc can be contacted via phone (203) 297-6130, or through Buturla, Justin James via phone (203) 297-6130.
Contact Information
Primary practice address
345 Main St Ste 7
Danbury CT 06810-5847
Phone: (203) 297-6130
Fax: (203) 297-6132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PCY.0002154 | Connecticut |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1245560853 |
|---|---|
| LBN Legal business name | Main Street Pharmacy 2 Llc |
| DBA Doing business as | Main Street Pharmacy |
| Authorized official | Buturla, Justin James PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 4th, 2010 |
| Last updated | Sep 12th, 2023 - about 3 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 | 1245560853 | NPPES |
| Other | 2123385 | PK |
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