Organization
MAIN STREET PHARMACY 2 LLC
Active
Other names
Main Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN JAMES BUTURLA PHARMD (OWNER)
(203) 297-6130
Entity
Organization
Contact information
Practice address
345 MAIN ST STE 7, DANBURY, CT 06810-5847
(203) 297-6130
(203) 297-6132
Mailing address
345 MAIN ST STE 7, DANBURY, CT 06810-5847
(203) 297-6130
(203) 297-6132
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PCY.0002154
CT
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123385
PK
—
Enumeration date
01/04/2010
Last updated
09/12/2023
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