Connecticut Pharmacy East Rock Ltc
Connecticut Pharmacy East Rock Ltc is a Durable Medical Equipment & Medical Supplies in Wallingford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2011.
- Licensed in
- CT
- In the registry since
- 2011
- Specialties on file
- 6
Practice location Address checks out
10 Fairfield Blvd Unit C2Wallingford, CT 06492-5903
Phone: (203) 691-5405
Fax: (203) 691-5107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Long Term Care Pharmacy (primary) | Taxonomy 3336L0003X · Licence PCY0002218 (CT) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Pharmacy | Taxonomy 333600000X |
| Community/Retail Pharmacy | Taxonomy 3336C0003X |
| Compounding Pharmacy | Taxonomy 3336C0004X |
| Specialty Pharmacy | Taxonomy 3336S0011X |
Record details
| NPI number | 1740578335 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Scott Wolak — Rph/President · (203) 518-1146 |
| Other names | East Rock Pharmacy; East Rock Pharmacy |
| NPI enumerated | July 15, 2011 |
| Last updated in NPPES | June 22, 2020 |
| Certification date | June 22, 2020 |
| Mailing address | 10 Fairfield Blvd, Unit C, Wallingford, CT 06492-5903 |
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