Organization
COLONIAL DRUGGISTS OF WESTPORT INC
Active
Other names
COLONIAL DRUGGISTS INC
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL LEVINE REG PHAR (REG PHAR AND OWNER)
(203) 227-9538
Entity
Organization
Contact information
Practice address
611 POST RD E, WESTPORT, CT 06880-4548
(203) 227-9538
(203) 227-6581
Mailing address
611 POST RD E, WESTPORT, CT 06880-4548
(203) 227-9538
(203) 227-6581
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY864
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04030805
—
CT
01
—
1998904
PK
—
Enumeration date
12/13/2005
Last updated
09/19/2025
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