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EYE OF HORUS PHARMACEUTICAL SERVICESLLC NPI 1043604010


NPI Information

NPI: 1043604010
Provider Name: EYE OF HORUS PHARMACEUTICAL SERVICES,LLC

Doing Business As: ABLE CARE PHARMACY AND MEDICAL SUPPLIES

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 07D2206673

Address:
15 PALOMBA DR
ENFIELD, CT
ZIP 06082
Phone: (860) 745-0183
Get Directions

EYE OF HORUS PHARMACEUTICAL SERVICES,LLC is a community/retail pharmacy pharmacy in Enfield, CT. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. EYE OF HORUS PHARMACEUTICAL SERVICES,LLC NPI is 1043604010. The provider is registered as an organization entity type.
The provider Is Doing Business As Able Care Pharmacy And Medical Supplies.

The provider's business location address is:

15 PALOMBA DR
ENFIELD, CT
ZIP 06082-888
Phone: (860) 745-0183
Fax: (860) 741-6503

The provider's authorized official is Ashraf Moustafa .
The authorized official title is President and has the following contact phone number (818) 519-6255.

The CLIA number assigned to this NPI record is 07D2206673 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2015 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336L0003XPharmacyLong Term Care PharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyPCY0001177CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1008061223MEDICAIDCONNECTICUT
22152674OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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