Bonneville Rx LLC
Pharmacy, Community/Retail Pharmacy in Danielson, Connecticut
1164587580- Practice location
- 77 Westcott RD, Danielson, CT 06239-2929
- Phone
- 860-774-9362
- Fax
- 860-779-2647
- Last updated
- September 9, 2013
Bonneville Rx LLC is a healthcare organization based in Danielson, CT. Bonneville Rx LLC practices in Danielson, CT. The NPI Number for Bonneville Rx LLC is 1164587580 and holds a License No. PCY0000159 (CT). The current practice location address for Bonneville Rx LLC is 77 Westcott RD, Danielson, CT 06239-2929 and can be reached out via phone at 860-774-9362 and via fax at 860-779-2647.
Provider Profile Details
- NPI Number
- 1164587580
- Provider Name
- Bonneville Rx LLC
- Provider Entity Type
- Organization
- Address
- 77 Westcott RD, Danielson, CT 06239-2929
- Phone Number
- 860-774-9362
- Fax Number
- 860-779-2647
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Ravinder Annamaneni · Member · 860-774-9362
- Other Names
- Bonneville Pharmacy (Doing Business As)
- Provider Enumeration Date
- December 26, 2006
- Last Update Date
- September 9, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 77 Westcott RD
Danielson, CT 06239-2929 - City
- Danielson
- State
- Connecticut
- Zip
- 06239-2929
- Phone Number
- 860-774-9362
- Fax Number
- 860-779-2647
Provider Business Mailing Address Details
- Address
- 77 Westcott RD
Danielson, CT 06239-2929 - City
- Danielson
- State
- CT
- Zip
- 06239-2929
- Phone Number
- 860-774-9362
- Fax Number
- 860-779-2647
License Information
- License Number
- PCY0000159
- License State
- CT
- Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacy, Community/Retail Pharmacy providers near Danielson, CT
View all Pharmacy, Community/Retail Pharmacy providers in Danielson →Frequently Asked Questions
What is the NPI number of Bonneville Rx LLC?
The NPI number of Bonneville Rx LLC is 1164587580. It was assigned on December 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Bonneville Rx LLC?
Bonneville Rx LLC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in CT under license number PCY0000159.
Where does Bonneville Rx LLC practice?
The practice location is 77 Westcott RD, Danielson, CT 06239-2929. The office can be reached at 860-774-9362 (phone) or 860-779-2647 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164587580 directly on the NPPES registry website.