OrganizationActive
Black Rock Pharmacy LLC
NPI 1295209773 · Community/Retail Pharmacy · Fairfield, CT
Provider details
- NPI number
- 1295209773
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kenneth Lee, Owner(917) 532-1285
Specialties & taxonomies
Suppliers
Practice location
1838 Black Rock Tpke
Fairfield, CT 06825-3500
Phone: (917) 532-1285
Approximate (ZIP-level) locationGet directions
Mailing address
1838 Black Rock Tpke
Fairfield, CT 06825-3500
Registry dates
- Enumerated
- 2019-01-17
- Last updated
- 2019-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.