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Bolbol LLC — NPI 1902423882, Vernon, CT | NPI Central

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NPI 1902423882

OrganizationActive

Bolbol LLC

NPI 1902423882 · Long Term Care Pharmacy · Vernon, CT

Provider details

NPI number: 1902423882
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Organization subpart: No
Authorized official: Nagy Wassef, Member(860) 875-2507

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003X
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers
Compounding Pharmacy3336C0004X
Suppliers

Practice location

79 East St

Vernon, CT 06066-3845

Phone: (860) 875-2507

Fax: (860) 870-8160

Approximate (ZIP-level) locationGet directions

More CT providers

Mailing address

79 East St

Vernon, CT 06066-3845

Other names (DBA / former)

Doing business as: The Medicine Shoppe 1442

Registry dates

Enumerated: 2020-06-26
Last updated: 2020-06-26
Certified: 2020-06-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.