Organization
BOLTON PHARMACY INC
Active
Other names
BOLTON PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
KARL LINK (PRESIDENT)
(860) 643-0165
Entity
Organization
Contact information
Practice address
667 BOSTON TPKE, BOLTON, CT 06043-7401
(860) 643-0165
(860) 649-3783
Mailing address
PO BOX 9216, BOLTON, CT 06043-9216
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY00911
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004031043
—
CT
01
—
0702882
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/20/2006
Last updated
06/04/2010
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