Bonneville Ltc

LBN: Danielson Pharmacy Inc
Bonneville Ltc is an health care organization with primary practice located at 77 A Westcott Rd , Danielson CT 06239. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Danielson Pharmacy Inc can be contacted via phone (860) 774-6418, or through Nethercote, Robert via phone (508) 450-3161.

Contact Information

Primary practice address
77 A Westcott Rd Danielson CT 06239
Phone: (860) 774-6418
Fax: (860) 779-2647
Website:
Map and Directions
Authorized official contact:
Name: Nethercote, Robert RPH
Phone: (508) 450-3161

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 2085 Connecticut

Profile Details

NPI number 1609095868
LBN Legal business name Danielson Pharmacy Inc
DBA Doing business as Bonneville Ltc
Authorized official Nethercote, Robert RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Jun 9th, 2010 - about 14 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 1609095868 NPPES
Other 0720739 NCPDP PROVIDER IDENTIFICATION NUMBER

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