Organization
BEACON PRESCRIPTION,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN COMEAU RPH (PRESIDENT)
(860) 875-9263
Entity
Organization
Contact information
Practice address
40 W MAIN ST, VERNON ROCKVILLE, CT 06066-3501
(860) 875-9263
(860) 871-7142
Mailing address
40 W MAIN ST, VERNON ROCKVILLE, CT 06066-3501
(860) 875-9263
(860) 871-7142
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0358
CT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004105161
—
CT
Enumeration date
09/16/2006
Last updated
03/23/2011
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