Main Street Pharmacy

LBN: Main Street Pharmacy 2 Llc
Main Street Pharmacy is an health care organization with primary practice located at 345 Main St Ste 7 , Danbury CT 06810-5847. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Main Street Pharmacy 2 Llc can be contacted via phone (203) 297-6130, or through Buturla, Justin James via phone (203) 297-6130.

Contact Information

Primary practice address
345 Main St Ste 7 Danbury CT 06810-5847
Fax: (203) 297-6132
Website:
Authorized official contact:
Name: Buturla, Justin James PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PCY.0002154 Connecticut
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1245560853
LBN Legal business name Main Street Pharmacy 2 Llc
DBA Doing business as Main Street Pharmacy
Authorized official Buturla, Justin James PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2010
Last updated Sep 12th, 2023 - about last year

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 1245560853 NPPES
Other 2123385 PK

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