MEDICARE: WASSEF LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy
2	3336L0003X	Long Term Care Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073130787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WASSEF LLC

Provider Business Mailing Address
First Line	:	535 BOSTON POST RD
Second Line	:
City	:	OLD SAYBROOK
State	:	CT
Zip	:	06475-1506
Country	:	US
Telephone Number	:	860-339-5667
Fax Number	:	860-339-5796

Provider Business Practice Location Address
First Line	:	535 BOSTON POST RD
Second Line	:
City	:	OLD SAYBROOK
State	:	CT
Zip	:	06475-1506
Country	:	US
Telephone Number	:	860-339-5667
Fax Number	:	860-339-5796

Authorized Official
Title or Position	:	MEMBER
Name	:	NAGY WASSEF
Credential	:
Telephone Number	:	860-339-5667

Provider Enumeration Date	:	06/29/2020
Last Update Date	:	02/03/2026

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Directions to “WASSEF LLC ” Practice Location

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