Enfield Compounding Pharmacy

LBN: Enfield Compounding Pharmacy Llc
Enfield Compounding Pharmacy is an health care organization with primary practice located at 139 Hazard Ave Bldg 4 , Enfield CT 06082-4585. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Enfield Compounding Pharmacy Llc can be contacted via phone (860) 749-1101, or through Page, Frank via phone (860) 749-1101.

Contact Information

Primary practice address
139 Hazard Ave Bldg 4 Enfield CT 06082-4585
Fax: (860) 749-1106
Website:
Authorized official contact:
Name: Page, Frank

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X 2362 Connecticut

Profile Details

NPI number 1568965796
LBN Legal business name Enfield Compounding Pharmacy Llc
DBA Doing business as Enfield Compounding Pharmacy
Authorized official Page, Frank
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2018
Last updated Jul 19th, 2018 - about 6 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 1568965796 NPPES
Other 2176935 PK

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