NPI 1255437455

Pine Lenox Pharmacy INC

Organisation Community/Retail Pharmacy Manchester, CT

Practice location

Address: 299 E Center St, Manchester, CT 06040-5211
Phone: (860) 649-0896
Fax: (860) 649-1389

Authorised official

Name: Margaret M Kelly
Title: Pharmacy Manager
Phone: (860) 649-0896

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 0871 (CT)

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1255437455
Entity type: Organization
NPI issued: 15 Sep 2006
Record last updated: 25 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.