Organization
KENNETH MEADY
Active
Other names
TOWNE APOTHECARY LLCC
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE MEADY (OWNER)
(203) 266-7801
Entity
Organization
Contact information
Practice address
95 MAIN ST S, BETHLEHEM, CT 06751-2004
(203) 266-7801
(203) 266-5321
Mailing address
95 MAIN ST S, PO BOX 9, BETHLEHEM, CT 06751-2004
(203) 266-7801
(203) 266-5321
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY.0001133
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004032249
—
CT
01
—
1999011
PK
—
Enumeration date
07/30/2006
Last updated
09/11/2023
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