Organization
AEV INC
Active
Other names
BEACON PRESCRIPTIONS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER E BEAUDOIN (PHARMACY MANAGER)
(203) 467-2600
Entity
Organization
Contact information
Practice address
875 FOXON RD, EAST HAVEN, CT 06513-1837
(203) 467-2600
(203) 467-5455
Mailing address
875 FOXON RD, EAST HAVEN, CT 06513-1837
(203) 467-2600
(203) 467-5455
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004116514
—
CT
Enumeration date
01/24/2007
Last updated
02/17/2020
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