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Main Street Pharmacy Llc
Specialty Pharmacy in Bridgeport, Connecticut
NPI 1609109842

Main Street Pharmacy Llc is a Specialty Pharmacy based in Bridgeport, CT and is specialized in Specialty Pharmacy. Main Street Pharmacy Llc practices in Bridgeport, CT. The NPI Number for Main Street Pharmacy Llc is 1609109842 and holds a License No. (Connecticut).

The current practice location address for Main Street Pharmacy Llc is 1005 Main St # 1J, Bridgeport, CT and can be reached out via phone at 203-870-9901 and via fax at 203-870-9903.

Location: 1005 Main St # 1J, Bridgeport, CT, 06604-4221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609109842
Provider Name
Main Street Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
1005 Main St # 1J, Bridgeport, CT, 06604-4221
Phone Number
203-870-9901
Fax Number
203-870-9903
Provider Enumeration Date
09/04/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0721577 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
1005 Main St # 1J
City
Bridgeport
State
Connecticut
Zip
06604-4221
Phone Number
203-870-9901
Fax Number
203-870-9903
person
Provider Business Mailing Address Details
Address
1005 Main St # 1J
City
Bridgeport
State
Connecticut
Zip
06604-4221
Phone Number
203-870-9901
Fax Number
203-870-9903
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PCY0002147 (Connecticut)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
()
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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