Pharmacy Department

LBN: Masonic Healthcare Center
Pharmacy Department is an health care organization with primary practice located at 22 Masonic Ave , Wallingford CT 06492-3048. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Long Term Care Pharmacy. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Masonic Healthcare Center can be contacted via phone (203) 679-6928, or through Deflorio, Martin G via phone (203) 679-6928.

Contact Information

Primary practice address
22 Masonic Ave Wallingford CT 06492-3048
Phone: (203) 679-6928
Fax: (203) 679-5970
Website:
Map and Directions
Authorized official contact:
Name: Deflorio, Martin G R.PH.
Phone: (203) 679-6928

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 119-C Connecticut
Suppliers / Long Term Care Pharmacy 3336L0003X 119C Connecticut

Profile Details

NPI number 1780689836
LBN Legal business name Masonic Healthcare Center
DBA Doing business as Pharmacy Department
Authorized official Deflorio, Martin G R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2005
Last updated Mar 7th, 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.

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