Main Street Pharmacy
LBN: Main Street Pharmacy 4 Llc
Main Street Pharmacy is an health care organization with primary practice located at 166 W Broad St , Stamford CT 06902-3661. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Main Street Pharmacy 4 Llc can be contacted via phone (203) 870-9902, or through Jacob, Jean via phone (203) 870-9902.
Contact Information
Primary practice address
166 W Broad St
Stamford CT 06902-3661
Phone: (203) 870-9902
Fax: (203) 870-9903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PCY.0002185 | Connecticut |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1689989782 |
|---|---|
| LBN Legal business name | Main Street Pharmacy 4 Llc |
| DBA Doing business as | Main Street Pharmacy |
| Authorized official | Jacob, Jean |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 12th, 2010 |
| Last updated | Aug 23rd, 2011 - about 13 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 | 1689989782 | NPPES |
| Other | 0722062 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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