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Organization

LBITTEL

Active
Other names
Beacon Prescriptions
Organization subpart
No

Provider details

NPI number
Authorized official
LORI LEE BITTEL RPH (OWNER)
(860) 559-4217
Entity
Organization

Contact information

Practice address
294 MAIN ST, WINSTED, CT 06098
(860) 738-2506
(860) 379-3876
Mailing address
294 MAIN ST, WINSTED, CT 06098
(860) 738-2506
(860) 379-3876

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PCY.0001719
CT
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004123634
CT
05
004127412
CT
05
008106469
CT
05
008107659
CT
01
2000252
PK
01
332B00000X
DURABLE MEDICAL EQUIP
CT
Enumeration date
08/17/2006
Last updated
04/30/2023
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