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Main Street Pharmacy 3 Llc
Long Term Care Pharmacy in Bridgeport, Connecticut
NPI 1780182766

Main Street Pharmacy 3 Llc is a Long Term Care Pharmacy based in Bridgeport, CT and is specialized in Long Term Care Pharmacy. 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. (Connecticut).

The current practice location address for Main Street Pharmacy 3 Llc is 2117 Boston Ave, Bridgeport, CT and can be reached out via phone at 203-212-3800 and via fax at 203-212-3802.

Location: 2117 Boston Ave, Bridgeport, CT, 06610-3030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780182766
Provider Name
Main Street Pharmacy 3 Llc
Credential
Provider Entity Type
Organization
Address
2117 Boston Ave, Bridgeport, CT, 06610-3030
Phone Number
203-212-3800
Fax Number
203-212-3802
Provider Enumeration Date
01/25/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2170877 01 PK
008032995 05 CT
institution
Provider Business Practice Location Address Details
Address
2117 Boston Ave
City
Bridgeport
State
Connecticut
Zip
06610-3030
Phone Number
203-212-3800
Fax Number
203-212-3802
person
Provider Business Mailing Address Details
Address
2117 Boston Ave
City
Bridgeport
State
Connecticut
Zip
06610-3030
Phone Number
203-212-3800
Fax Number
203-212-3802
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PCY2190 (Connecticut)
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 2
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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