Black Rock Pharmacy Llc

LBN: Black Rock Pharmacy Llc
Black Rock Pharmacy Llc is an health care organization with primary practice located at 1838 Black Rock Tpke , Fairfield CT 06825-3500. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Black Rock Pharmacy Llc can be contacted via phone (917) 532-1285, or through Lee, Kenneth H via phone (917) 532-1285.

Contact Information

Primary practice address
1838 Black Rock Tpke Fairfield CT 06825-3500
Phone: (917) 532-1285
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lee, Kenneth H RPH
Phone: (917) 532-1285

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1295209773
LBN Legal business name Black Rock Pharmacy Llc
DBA Doing business as
Authorized official Lee, Kenneth H RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2019
Last updated Jan 17th, 2019 - about 5 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 1295209773 NPPES
Connecticut Other 2386 PHARMACY LICENSE

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