Main Street Pharmacy 3 LLC
NPI #1780182766 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1780182766
- Entity Type
- Organization
- Organization Name
- Main Street Pharmacy 3 LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Jan 25, 2018
- Last Updated
- Jan 25, 2018
Practice Location
- Address
- 2117 BOSTON AVE
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06610-3030
- Phone
- (203) 212-3800
Authorized Official
- Name
- JEAN JACOB
- Title
- MEMBER
- Phone
- (203) 212-3800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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