Connecticut Pharmacy East Rock Ltc
NPI #1740578335 in Wallingford, Connecticut
Provider Information
- NPI Number
- 1740578335
- Entity Type
- Organization
- Organization Name
- Connecticut Pharmacy East Rock Ltc
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Jul 15, 2011
- Last Updated
- Jun 22, 2020
Practice Location
- Address
- 10 FAIRFIELD BLVD UNIT C2
- City
- Wallingford
- State
- Connecticut
- ZIP Code
- 06492-5903
- Phone
- (203) 691-5405
Authorized Official
- Name
- SCOTT WOLAK
- Title
- RPH/PRESIDENT
- Phone
- (203) 518-1146
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy |
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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