Organization
MAIN STREET PHARMACY 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN JAMES BUTURLA SR. PHARMD. (CO-OWNER)
(203) 297-6130
Entity
Organization
Contact information
Practice address
345 MAIN ST STE 7, DANBURY, CT 06810-5847
(203) 297-6130
(203) 297-6132
Mailing address
345 MAIN ST STE 7, DANBURY, CT 06810-5847
(203) 297-6130
(203) 297-6132
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008013934
—
CT
Enumeration date
03/06/2019
Last updated
05/11/2023
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