Visels Pharmacy
LBN: Visels Drug Store Inc
Visels Pharmacy is an health care organization with primary practice located at 714 Dixwell Ave , New Haven CT 06511-1038. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Visels Drug Store Inc can be contacted via phone (203) 562-6878, or through Funaro, Edmund via phone (203) 562-6878.
Contact Information
Primary practice address
714 Dixwell Ave
New Haven CT 06511-1038
Phone: (203) 562-6878
Fax: (203) 624-3530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PCY0000089 | Connecticut |
Profile Details
| NPI number | 1710070487 |
|---|---|
| LBN Legal business name | Visels Drug Store Inc |
| DBA Doing business as | Visels Pharmacy |
| Authorized official | Funaro, Edmund |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Aug 6th, 2014 - about 10 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 | 1710070487 | NPPES |
| Connecticut | MEDICAID | 004026233 | |
| Connecticut | MEDICAID | 004015350 | |
| Connecticut | Other | 1998384 |
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