Main Street Pharmacy 3 LLC
Pharmacy, Long Term Care Pharmacy in Bridgeport, Connecticut
1780182766- Practice location
- 2117 Boston Ave, Bridgeport, CT 06610-3030
- Phone
- 203-212-3800
- Fax
- 203-212-3802
- Last updated
- January 25, 2018
Main Street Pharmacy 3 LLC is a healthcare organization based in Bridgeport, CT. Main Street Pharmacy 3 LLC practices in Bridgeport, CT. The NPI Number for Main Street Pharmacy 3 LLC is 1780182766 and holds a License No. PCY2190 (CT). The current practice location address for Main Street Pharmacy 3 LLC is 2117 Boston Ave, Bridgeport, CT 06610-3030 and can be reached out via phone at 203-212-3800 and via fax at 203-212-3802.
Provider Profile Details
- NPI Number
- 1780182766
- Provider Name
- Main Street Pharmacy 3 LLC
- Provider Entity Type
- Organization
- Address
- 2117 Boston Ave, Bridgeport, CT 06610-3030
- Phone Number
- 203-212-3800
- Fax Number
- 203-212-3802
- Primary Taxonomy
- Pharmacy, Long Term Care Pharmacy · 3336L0003X
- Organization Subpart
- No
- Authorized Official
- Jean Jacob · Member · 203-212-3800
- Other Names
- Main Street Pharmacy (Doing Business As)
- Provider Enumeration Date
- January 25, 2018
- Last Update Date
- January 25, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2117 Boston Ave
Bridgeport, CT 06610-3030 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06610-3030
- Phone Number
- 203-212-3800
- Fax Number
- 203-212-3802
Provider Business Mailing Address Details
- Address
- 2117 Boston Ave
Bridgeport, CT 06610-3030 - City
- Bridgeport
- State
- CT
- Zip
- 06610-3030
- Phone Number
- 203-212-3800
- Fax Number
- 203-212-3802
License Information
- Taxonomy (1)
- Pharmacy · 333600000X
- License Number (2)
- PCY2190
- License State (2)
- CT
- Taxonomy (2)
- Pharmacy, Long Term Care Pharmacy · 3336L0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Main Street Pharmacy 3 LLC?
The NPI number of Main Street Pharmacy 3 LLC is 1780182766. It was assigned on January 25, 2018 and is currently active in the NPPES registry.
What is the specialty of Main Street Pharmacy 3 LLC?
Main Street Pharmacy 3 LLC is registered under the primary taxonomy Pharmacy, Long Term Care Pharmacy (code 3336L0003X), licensed in CT under license number PCY2190.
Where does Main Street Pharmacy 3 LLC practice?
The practice location is 2117 Boston Ave, Bridgeport, CT 06610-3030. The office can be reached at 203-212-3800 (phone) or 203-212-3802 (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 1780182766 directly on the NPPES registry website.