NPI 1902423882
Bolbol LLC
Practice location
- Address
- 79 East St, Vernon, CT 06066-3845
- Phone
- (860) 875-2507
- Fax
- (860) 870-8160
Authorised official
- Name
- Nagy Wassef
- Title
- Member
- Phone
- (860) 875-2507
Registered specialties (3)
Long Term Care Pharmacy
Primary
Community/Retail Pharmacy
Compounding Pharmacy
Registry record
- NPI
- 1902423882
- Entity type
- Organization
- NPI issued
- 26 Jun 2020
- Record last updated
- 26 Jun 2020
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.