East Rock Pharmacy

LBN: Connecticut Pharmacy East Rock Ltc
East Rock Pharmacy is an health care organization with primary practice located at 10 Fairfield Blvd Unit C2 , Wallingford CT 06492-5903. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Connecticut Pharmacy East Rock Ltc can be contacted via phone (203) 691-5405, or through Wolak, Scott via phone (203) 518-1146.

Contact Information

Primary practice address
10 Fairfield Blvd Unit C2 Wallingford CT 06492-5903
Phone: (203) 691-5405
Fax: (203) 691-5107
Website:
Map and Directions
Authorized official contact:
Name: Wolak, Scott
Phone: (203) 518-1146

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X PCY0002218 Connecticut
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1740578335
LBN Legal business name Connecticut Pharmacy East Rock Ltc
DBA Doing business as East Rock Pharmacy
Authorized official Wolak, Scott
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2011
Last updated Jun 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740578335 NPPES
Other 2131131 PK
MEDICAID 008033891 PK

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