Connecticut Pharmacy Of Madison

LBN: Connecticut Pharmacy Of Madison Llc
Connecticut Pharmacy Of Madison is an health care organization with primary practice located at 200 Boston Post Rd Ste 9 , Madison CT 06443-2144. 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 / Community/Retail Pharmacy is the primary health care specialty. Connecticut Pharmacy Of Madison Llc can be contacted via phone (203) 421-2132, or through Wolak, Scott via phone (203) 518-1146.

Contact Information

Primary practice address
200 Boston Post Rd Ste 9 Madison CT 06443-2144
Phone: (203) 421-2132
Fax: (203) 421-2135
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 PCY0002300 Connecticut
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1558762971
LBN Legal business name Connecticut Pharmacy Of Madison Llc
DBA Doing business as Connecticut Pharmacy Of Madison
Authorized official Wolak, Scott
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2014
Last updated Nov 29th, 2016 - about 8 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 1558762971 NPPES
Other 2147371 PK

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