Nutmeg Pharmacy

LBN: Nutmeg Pharmacy Moodus Llc
Nutmeg Pharmacy is an health care organization with primary practice located at 26 Falls Rd , Moodus CT 06469-1262. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Nutmeg Pharmacy Moodus Llc can be contacted via phone (860) 891-8142, or through Larosa, Beth-Ann via phone (860) 345-3607.

Contact Information

Primary practice address
26 Falls Rd Moodus CT 06469-1262
Phone: (860) 891-8142
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Larosa, Beth-Ann
Phone: (860) 345-3607

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1124636469
LBN Legal business name Nutmeg Pharmacy Moodus Llc
DBA Doing business as Nutmeg Pharmacy
Authorized official Larosa, Beth-Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2020
Last updated Jan 31st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124636469 NPPES
Connecticut MEDICAID 008092217

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