Organization
RW GROUP INC
Active
Other names
BEACON MEDICATION SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
GUS CAMPOS PHARMD (PRESIDENT)
(860) 583-1006
Entity
Organization
Contact information
Practice address
25 MELLEN ST, BRISTOL, CT 06010-6313
(860) 582-4847
(860) 584-9718
Mailing address
25 MELLEN ST, BRISTOL, CT 06010-6313
(860) 582-4847
(860) 584-9718
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PCY0002195
CT
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008032955
—
CT
01
—
2127965
PK
—
Enumeration date
12/08/2010
Last updated
05/22/2024
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