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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558762971 | NPPES |
| Other | 2147371 | PK |
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