Organization
SALEM PHARMACY LLC
Active
Other names
Salem Health Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY MIKOLINSKI (OWNER/MANAGER)
(860) 655-2885
Entity
Organization
Contact information
Practice address
20 HARTFORD RD STE 16, SALEM, CT 06420-3800
(860) 949-8624
(860) 949-8646
Mailing address
20 HARTFORD RD STE 16, SALEM, CT 06420-3800
(860) 949-8624
(860) 949-8646
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY0002252
CT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008042535
—
CT
01
—
0722923
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/24/2012
Last updated
08/13/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us