Organization
PLANTSVILLE PHARMACY INC
Active
Other names
PLANTSVILLE PHARMACY INC.
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES POTREPKA BS RPH (PRESIDENT / MGR/ PHARMACIST/ OWNER)
(860) 628-2385
Entity
Organization
Contact information
Practice address
1 W MAIN ST, PLANTSVILLE, CT 06479-1522
(860) 628-2385
(860) 628-2475
Mailing address
1 W MAIN ST, PLANTSVILLE, CT 06479-1522
(860) 628-2385
(860) 628-2475
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000378
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1998099
PK
—
05
—
4027918
—
CT
Enumeration date
06/21/2006
Last updated
07/19/2018
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