Nutmeg Pharmacy Moodus LLC
Organization Active NPI Long Term Care Pharmacy · Moodus, CT
NPI 1124636469 · NPPES record last updated Jan 31, 2023
Key facts
- NPI
- 1124636469
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- NUTMEG PHARMACY MOODUS LLC
- Practice address
- 26 Falls Rd
Moodus, CT 06469-1262 - Phone
- (860) 891-8142
- NPI assigned
- Jul 22, 2020
- Organization subpart
- No
Authorized official
- Name
- Beth-Ann Larosa
- Title
- Office Manager
- Phone
- (860) 345-3607
National Provider Directory
Locations
38 William F Palmer Rd
Moodus, CT 06469
Phone (860) 345-3607
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
26 Falls Rd
Moodus, CT 06469-1262
Mailing address
PO Box 540
Higganum, CT 06441-0540
Phone (860) 345-3607
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008092217 | Medicaid | CT |
Other names
- Nutmeg Pharmacy
Other providers in Moodus, CT
- Mindful Therapy Studio LLC
- Matthew Morris-Wood
- Nicole Muckenhirn
- Keith J Murphey
- Nathan Hale Pharmacy Inc
- Nutmeg Pharmacy Moodus LLC
- Steven M Pear
- Peoplesdental, P.C.
- Christopher Petersen
- Alexandra Pires
All providers in Moodus, CT · Long Term Care Pharmacy in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.