Connecticut Pharmacy Medical Supply

LBN: Medicine Centre Hope Street Llc
Connecticut Pharmacy Medical Supply is an health care organization with primary practice located at 664 Main Ave Unit B101, Norwalk CT 06851-1162. 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 / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Mail Order Pharmacy is the primary health care specialty. Medicine Centre Hope Street Llc can be contacted via phone (203) 939-1836, or through Wolak, Kathy via phone (203) 518-1147.

Contact Information

Primary practice address
664 Main Ave Unit B101 Norwalk CT 06851-1162
Fax: (203) 939-1837
Website:
Authorized official contact:
Name: Wolak, Kathy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 28RO00114900 New Jersey
Suppliers / Pharmacy 333600000X 033409 New York
Suppliers / Community/Retail Pharmacy 3336C0003X NP000838 Pennsylvania
Suppliers / Long Term Care Pharmacy 3336L0003X PHN10764 Rhode Island
Suppliers / Mail Order Pharmacy 3336M0002X 0214001732 Virginia
Suppliers / Mail Order Pharmacy 3336M0002X PCY0000434 Connecticut
Suppliers / Mail Order Pharmacy 3336M0002X 036.125415 Vermont

Profile Details

NPI number 1992769350
LBN Legal business name Medicine Centre Hope Street Llc
DBA Doing business as Connecticut Pharmacy Medical Supply
Authorized official Wolak, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2006
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 1992769350 NPPES
Connecticut MEDICAID 004249901
Connecticut Other 2002651

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