Healthcare Provider Details

I. General information

NPI: 1992211627
Provider Name (Legal Business Name): SPECIALTY RX CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2017
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 MAIN ST
CENTERBROOK CT
06409-1071
US

IV. Provider business mailing address

PO BOX 540
HIGGANUM CT
06441-0540
US

V. Phone/Fax

Practice location:
  • Phone: 860-767-7389
  • Fax: 860-767-0162
Mailing address:
  • Phone: 860-345-3607
  • Fax: 860-345-3612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPCY.0002367
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER OLENDER
Title or Position: MEMBER
Credential: RPH
Phone: 860-767-1389