Organization

Main Street Pharmacy 3 Llc

Pharmacy in Bridgeport, CT(View on Map)

Legal Business Name

Main Street Pharmacy 3 Llc

NPI Number

1316249352

NPI Type

Organization

Enumeration Date

11/24/2010

Specialties

(Taxonomies)

Licenses

State

Connecticut

License Number

PCY2190

Contact
Information

Purpose

Mailing
Location

Address

2117 BOSTON AVE
2117 BOSTON AVE

City

Bridgeport
Bridgeport

State

CT
CT

Postal Code

06610-3030
06610-3030

Country

US
US

Telephone Number

(203) 212-3800
(203) 212-3800

Authorized Official

Name

Dr. Jean Jacob

Title or Position

OWNER

Telephone Number

(203) 212-38001

Identifiers

Identifier

008032995

Identifier State

CT

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/09/2015

Provider Address

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