Beacon Falls Pharmacy, LLC
Organization Active NPI Community/Retail Pharmacy · Beacon Falls, CT
NPI 1851317705 · NPPES record last updated Jan 18, 2017
Key facts
- NPI
- 1851317705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PCY2015 (CT)
- Legal business name
- BEACON FALLS PHARMACY, LLC
- Practice address
- 20 N Main St
Beacon Falls, CT 06403-1131 - Phone
- (203) 729-4567
- Fax
- (203) 729-4573
- NPI assigned
- Jul 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Robert Bradley
- Title
- Owner
- Phone
- (203) 729-4567
Practitioners 1
-
Marion Bradley, RPH
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PCY2015 | CT | Yes |
Addresses
Primary practice location
20 N Main St
Beacon Falls, CT 06403-1131
Mailing address
PO Box 218
Beacon Falls, CT 06403-0218
Phone (203) 729-4567
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004253548 | Medicaid | CT | |
| 2002743 | Other | PK |
Other names
- BEACON FALLS PHARMACY LLC
Other providers in Beacon Falls, CT
- Beacon Falls Counseling LLC
- Beacon Hose Company 1
- Amanda Bolduc
- Marion Bradley
- Cassandra Hope Cooper
- Francis Julius Coppola III
All providers in Beacon Falls, CT · Community/Retail 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 18, 2017. 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.