Organization
URX5 LLC
Active
Other names
STOLL'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN BUTURLA (PRESIDENT)
(203) 824-3570
Entity
Organization
Contact information
Practice address
185 GROVE ST, WATERBURY, CT 06710-2289
(203) 575-0199
(203) 575-0515
Mailing address
185 GROVE ST, WATERBURY, CT 06710-2289
(203) 575-0199
(203) 575-0515
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PCY.0001330
CT
3336L0003X
Long Term Care Pharmacy
PCY.0001330
CT
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004083234
—
CT
Enumeration date
03/23/2007
Last updated
08/06/2024
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