Healthcare Provider Details

I. General information

NPI: 1295803435
Provider Name (Legal Business Name): PHARMSCRIPT OF CT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 CLARK DR UNIT B
EAST BERLIN CT
06023-1157
US

IV. Provider business mailing address

PO BOX 6151
SOMERSET NJ
08875-6151
US

V. Phone/Fax

Practice location:
  • Phone: 908-389-1818
  • Fax: 508-281-1843
Mailing address:
  • Phone: 908-389-1818
  • Fax: 732-985-5899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPCY.0001869
License Number StateCT

VIII. Authorized Official

Name: CHANA HOFF
Title or Position: VP OF FINANCIAL OPERATIONS
Credential:
Phone: 908-389-1818