Organization
WOODMARK PHARMACY OF CT LLC
Active
Other names
Woodmark Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY RUBIN (CO-CHIEF EXECUTIVE OFFICER)
(716) 817-5075
Entity
Organization
Contact information
Practice address
41 NORTHWEST DR, PLAINVILLE, CT 06062-1234
(860) 846-6369
(860) 996-2086
Mailing address
500 SENECA ST STE 100, BUFFALO, NY 14204-1963
(716) 633-3900
(860) 996-2086
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PCY2366
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176188
PK
—
Enumeration date
12/20/2017
Last updated
09/13/2023
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