Organization
CONNECTICUT PHARMACY DIRECT LLC
Active
Other names
Connecticut Pharmacy Direct
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WOLAK (PRESIDENT AND CEO)
(203) 518-1146
Entity
Organization
Contact information
Practice address
10 FAIRFIELD BLVD UNIT C, WALLINGFORD, CT 06492-5903
(203) 443-1213
(203) 443-1085
Mailing address
10 FAIRFIELD BLVD UNIT C, WALLINGFORD, CT 06492-5903
(203) 443-1213
(203) 443-1085
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
NR1506
NH
3336C0003X
Community/Retail Pharmacy
035394
NY
3336S0011X
Specialty Pharmacy
Primary
PCY.0002331
CT
3336S0011X
Specialty Pharmacy
PHN11251
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008066088
—
CT
01
—
2159143
PK
—
Enumeration date
04/01/2016
Last updated
09/19/2025
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