Organization
NOSTRUMRX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN MANION PHARM D (OWNER)
(860) 343-5220
Entity
Organization
Contact information
Practice address
2286 BERLIN TPKE, NEWINGTON, CT 06111-3202
(860) 430-4738
(860) 757-3576
Mailing address
2286 BERLIN TURNPIKE, NEWINGTON, CT 06111
(860) 430-4738
(860) 757-3576
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177649
PK
—
Enumeration date
05/09/2018
Last updated
01/11/2023
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