Organization
BEACON PHARMACY LLC
Active
Other names
Rockville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ABHISHEK PATEL (MEMBER)
(732) 647-5729
Entity
Organization
Contact information
Practice address
40 W MAIN ST, VERNON ROCKVILLE, CT 06066-3501
(860) 875-9263
(860) 871-7142
Mailing address
40 W MAIN ST, VERNON ROCKVILLE, CT 06066-3501
(860) 875-9263
(860) 871-7142
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0000358
CT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139335
PK
—
Enumeration date
02/12/2013
Last updated
12/17/2019
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