Organization
PHARMAGEN LABORATORIES
Active
Other names
Bryce Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN BARCH (SENIOR VICE PRESIDENT)
(301) 455-0207
Entity
Organization
Contact information
Practice address
30 BUXTON FARMS ROAD, SUITE 110, STAMFORD, CT 06905
(203) 359-6323
(203) 359-6448
Mailing address
30 BUXTON FARMS ROAD, SUITE 110, STAMFORD, CT 06905
(203) 359-6323
(203) 359-6448
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PCY.0001773
CT
3336C0004X
Compounding Pharmacy
PCY0001773
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0719130
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/22/2006
Last updated
04/21/2014
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