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WASSEF LLC NPI 1073130787


NPI Information

NPI: 1073130787
Provider Name: WASSEF LLC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
535 BOSTON POST RD
OLD SAYBROOK, CT
ZIP 06475
Phone: (860) 339-5667
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WASSEF LLC is a long term care pharmacy pharmacy in Old Saybrook, CT. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. WASSEF LLC NPI is 1073130787. The provider is registered as an organization entity type.

The provider's business location address is:

535 BOSTON POST RD
OLD SAYBROOK, CT
ZIP 06475-506
Phone: (860) 339-5667
Fax: (860) 339-5796

The provider's authorized official is Nagy Wassef .
The authorized official title is Member and has the following contact phone number (860) 339-5667.

The enumeration date for this NPI number is 6/29/2020 and was last updated on 7/8/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336L0003XPharmacyLong Term Care PharmacyYes
33336C0004XPharmacyCompounding PharmacyNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100806330MEDICAIDCONNECTICUT

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: 5/5/2024
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