Bella Vista Pharmacy Inc

LBN: Bella Vista Pharmacy Inc
Bella Vista Pharmacy Inc is an health care organization with primary practice located at 321 Eastern St , New Haven CT 06513-2462. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bella Vista Pharmacy Inc can be contacted via phone (203) 467-1683, or through Beaudoin, Roger via phone (860) 921-7210.

Contact Information

Primary practice address
321 Eastern St New Haven CT 06513-2462
Phone: (203) 467-1683
Fax: (203) 467-5888
Website:
Map and Directions
Authorized official contact:
Name: Beaudoin, Roger
Phone: (860) 921-7210

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PCY0001063 Connecticut

Profile Details

NPI number 1396885836
LBN Legal business name Bella Vista Pharmacy Inc
DBA Doing business as Bella Vista Pharmacy Inc
Authorized official Beaudoin, Roger
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Nov 24th, 2023 - about last year

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 1396885836 NPPES
Connecticut MEDICAID 004031738
Connecticut Other 1998401

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