Organization
DCA INC
Active
Other names
Beacon Prescriptions
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIK CHAMBERLIN (OWNER)
(860) 628-3972
Entity
Organization
Contact information
Practice address
609 N MAIN ST, SOUTHINGTON, CT 06489-2051
(860) 628-3972
(860) 621-7862
Mailing address
609 N MAIN ST, SOUTHINGTON, CT 06489-2051
(860) 628-3972
(860) 621-7862
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1334
CT
3336C0003X
Community/Retail Pharmacy
Primary
PCY000133
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0712643
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/23/2006
Last updated
02/06/2015
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