Organization
SALEM PHARMACY LLC
Active
Parent organization
SALEM PHARMACY LLC
Other names
Salem Health Mart Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SALEM PHARMACY LLC
Authorized official
WENDY MIKOLINSKI (OWNER)
(860) 949-8624
Entity
Organization
Contact information
Practice address
20 HARTFORD RD STE 16, SALEM, CT 06420-3800
(860) 949-8624
(860) 949-8646
Mailing address
20 HARTFORD RD STE 16, SALEM, CT 06420-3800
(860) 949-8624
(860) 949-8646
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PCY2252
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008042535
—
CT
Enumeration date
08/17/2017
Last updated
07/21/2022
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