Organization
WEST RIVER PHARM OF CONNECTICUT LLC
Active
Other names
West River Rx
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD PELC (EXEC VP OF PHARMACY)
(860) 351-5093
Entity
Organization
Contact information
Practice address
41 NORTHWEST DR, PLAINVILLE, CT 06062-1234
(860) 677-2934
(860) 351-5110
Mailing address
41 NORTHWEST DR, PLAINVILLE, CT 06062-1234
(860) 677-2934
(860) 351-5110
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PCY.0002207
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153797
PK
—
Enumeration date
08/12/2015
Last updated
08/31/2016
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