<Unavail>

LBN: Salem Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 20 Hartford Rd Ste 16 , Salem CT 06420-3800. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Salem Pharmacy Llc can be contacted via phone (860) 949-8624, or through Mikolinski, Wendy via phone (860) 655-2885.

Contact Information

Primary practice address
20 Hartford Rd Ste 16 Salem CT 06420-3800
Phone: (860) 949-8624
Fax: (860) 949-8646
Website:
Map and Directions
Authorized official contact:
Name: Mikolinski, Wendy
Phone: (860) 655-2885

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PCY0002252 Connecticut
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1619228202
LBN Legal business name Salem Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Mikolinski, Wendy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2012
Last updated Aug 13th, 2019 - about 7 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 1619228202 NPPES
Connecticut MEDICAID 008042535
Connecticut Other 0722923

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