MAIN STREET PHARMACY LLC
1005 Main St # 1j
Bridgeport, CT 06604
203-870-9901
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies - | ||
N | 3336C0004X | Suppliers - Pharmacy | ||
N | 3336S0011X | Suppliers - Pharmacy | ||
N | 333600000X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | CT | PCY0002147 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0721577 | OTHER |