Southwood Pharmacy

LBN: Southwood Pharmacy, Inc
Southwood Pharmacy is an health care organization with primary practice located at 89 Raffia Rd , Enfield CT 06082-5157. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Southwood Pharmacy, Inc can be contacted via phone (860) 749-8334, or through Szewczyk, Edward via phone (860) 749-8334.

Contact Information

Primary practice address
89 Raffia Rd Enfield CT 06082-5157
Phone: (860) 749-8334
Fax: (860) 749-8156
Website:
Map and Directions
Authorized official contact:
Name: Szewczyk, Edward BS
Phone: (860) 749-8334

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 528 Connecticut

Profile Details

NPI number 1003968488
LBN Legal business name Southwood Pharmacy, Inc
DBA Doing business as Southwood Pharmacy
Authorized official Szewczyk, Edward BS
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Aug 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003968488 NPPES
Other 0708353 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 004028817 NCPDP PROVIDER IDENTIFICATION NUMBER

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