NPI 1295209773
Black Rock Pharmacy LLC
Practice location
- Address
- 1838 Black Rock Tpke, Fairfield, CT 06825-3500
- Phone
- (917) 532-1285
Authorised official
- Name
- Kenneth H Lee
- Title
- Owner
- Phone
- (917) 532-1285
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1295209773
- Entity type
- Organization
- NPI issued
- 17 Jan 2019
- Record last updated
- 17 Jan 2019
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.