# SALEM PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SALEM PHARMACY LLC
- **Other names:** Salem Health Mart Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982120333
- **Legal business name:** SALEM PHARMACY LLC
- **Authorized official:** WENDY MIKOLINSKI (OWNER)
- **Authorized official phone:** (860) 949-8624

## Contact information

- **Practice address:** 20 HARTFORD RD STE 16, SALEM, CT 06420-3800
- **Practice address phone:** (860) 949-8624
- **Practice address fax:** (860) 949-8646
- **Mailing address:** 20 HARTFORD RD STE 16, SALEM, CT 06420-3800
- **Mailing address phone:** (860) 949-8624
- **Mailing address fax:** (860) 949-8646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PCY2252 | CT | Yes |

## Other

- **Enumeration date:** 08/17/2017
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008042535 | — | CT |