Organization
ENFIELD COMPOUNDING PHARMACY LLC
Active
Other names
ENFIELD COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK PAGE (PHARMACIST/OWNER)
(860) 749-1101
Entity
Organization
Contact information
Practice address
139 HAZARD AVE BLDG 4, ENFIELD, CT 06082-4585
(860) 749-1101
(860) 749-1106
Mailing address
PO BOX 1152, ENFIELD, CT 06083-1152
(860) 749-1101
(860) 749-1106
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
2362
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176935
PK
—
Enumeration date
03/14/2018
Last updated
07/19/2018
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