Organization
MAIN STREET RX INC
Active
Other names
Main Street Rx
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW DELILLO (CEO)
(475) 323-2100
Entity
Organization
Contact information
Practice address
266 S MAIN ST STE D-2, NEWTOWN, CT 06470-6706
(475) 323-2100
Mailing address
266 S MAIN ST, SUITE D-2, NEWTOWN, CT 06470-6706
(475) 323-2100
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164148
PK
—
Enumeration date
09/20/2016
Last updated
02/15/2017
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