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Contact Information

BEACON PHARMACY LLC
42 WINDSOR AVE
VERNON, CT06066-2438
 Phone: 860-875-9263
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BEACON PHARMACY LLC

NPI # 1447898523
LBN Legal business name BEACON PHARMACY LLC
Authorized official MAYUR PATEL - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2019
Last updated 12/19/2019 - About 6 years ago
Identifiers
CT Medicaid 008043533
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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