CONNECTICUT PHARMACY LLC NPI 1063757631

NPI Information

CONNECTICUT PHARMACY LLC is a long term care pharmacy pharmacy in Norwalk, 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. CONNECTICUT PHARMACY LLC NPI is 1063757631. The provider is registered as an organization entity type.
The provider Is Doing Business As Connecticut Pharmacy.

The provider's business location address is:

664 MAIN AVE UNIT B101-102
NORWALK, CT
ZIP 06851-162
Phone: (203) 939-1790
Fax: (203) 939-1789

The provider's authorized official is Scott Wolak .
The authorized official title is President/ceo and has the following contact phone number (203) 518-1146.

The enumeration date for this NPI number is 12/7/2012 and was last updated on 10/29/2018.

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:

Other Identifiers

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

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