Candlewood Pharmacy

LBN: Candlewood Pharmacy
Candlewood Pharmacy is an health care organization with primary practice located at 11 Rt 37 Box 8874, New Fairfield CT 06812. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Candlewood Pharmacy can be contacted via phone (203) 746-2404, or through Masterantuone, David via phone (203) 746-2404.

Contact Information

Primary practice address
11 Rt 37 Box 8874 New Fairfield CT 06812
Phone: (203) 746-2404
Fax: (203) 746-2269
Website:
Map and Directions
Authorized official contact:
Name: Masterantuone, David
Phone: (203) 746-2404

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 1040 Connecticut
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1033190806
LBN Legal business name Candlewood Pharmacy
DBA Doing business as Candlewood Pharmacy
Authorized official Masterantuone, David
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2005
Last updated Aug 22nd, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033190806 NPPES
Other 0705244 OTHER ID NUMBER-COMMERCIAL NUMBER

Popular Providers