Organization
PINE LENOX PHARMACY INC
Active
Other names
Lenox Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET M KELLY RPH (PHARMACY MANAGER)
(860) 649-0896
Entity
Organization
Contact information
Practice address
299 E CENTER ST, MANCHESTER, CT 06040-5211
(860) 649-0896
(860) 649-1389
Mailing address
299 E CENTER ST, MANCHESTER, CT 06040-5211
(860) 649-0896
(860) 649-1389
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0871
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004030847
—
CT
05
—
004069878
—
CT
Enumeration date
09/15/2006
Last updated
09/25/2015
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