Organization
VISMAR INC
Active
Other names
PALMER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS A VISCONTI R.PH. (PHARMACY OWNER)
(203) 869-5700
Entity
Organization
Contact information
Practice address
49 LAKE AVENUE, GREENWICH MEDICAL BUILDING, GREENWICH, CT 06830
(203) 869-5700
(203) 869-5788
Mailing address
49 LAKE AVENUE, GREENWICH MEDICAL BUILDING, GREENWICH, CT 06830
(203) 869-5700
(203) 869-5788
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008044400
—
CT
01
—
01907886
NY STATE MEDICAID
NY
01
—
0723153
NABP/NCPDP
CT
01
—
PCY000352
STATE LICENSE #
CT
Enumeration date
10/04/2006
Last updated
03/07/2023
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