Salem Pharmacy LLC
Organization Active NPI Long Term Care Pharmacy · Salem, CT
NPI 1982120333 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1982120333
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- License
- PCY2252 (CT)
- Legal business name
- SALEM PHARMACY LLC
- Practice address
- 20 Hartford Rd Ste 16
Salem, CT 06420-3800 - Phone
- (860) 949-8624
- Fax
- (860) 949-8646
- NPI assigned
- Aug 17, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- SALEM PHARMACY LLC
Authorized official
- Name
- Wendy Mikolinski
- Title
- Owner
- Phone
- (860) 949-8624
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 1
Practitioners 3
-
Wendy Elizabeth Mikolinski, PHARMD
-
Natasha Makalani Wessner, PHARMD.
National Provider Directory
- Tax ID family
- Salem Pharmacy LLC
- Part of
- Salem Pharmacy LLC
Locations
24 Hartford Rd
Ste 11
Salem, CT 06420
Phone (860) 949-8624
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | PCY2252 | CT | Yes |
Addresses
Primary practice location
20 Hartford Rd Ste 16
Salem, CT 06420-3800
Mailing address
20 Hartford Rd Ste 16
Salem, CT 06420-3800
Phone (860) 949-8624
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008042535 | Medicaid | CT |
Other names
- Salem Health Mart Pharmacy
Other providers in Salem, CT
- Joan D Rankowitz
- Nancy Rodgers
- Roseann Z George
- Erin Russo
- Salem Pharmacy LLC
- Salem School District
- Michele Lee Sauvageau-Krahn
- Kaitlin Devon Stewart
- Elvira Weiner
- Natasha Makalani Wessner
All providers in Salem, 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 Jul 21, 2022. 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.