Bonneville Rx Llc
Community/Retail Pharmacy
77 Westcott Rd, Danielson
Connecticut, 06239-2929
860-774-9362 860-779-2647
Bonneville Rx Llc is not a DME supplier for medicare equipments and products.
Bonneville Rx Llc is a Community/Retail Pharmacy in Danielson, Connecticut. It is located at 77 Westcott Rd, Danielson and it's customer support contact number is 860-774-9362. The authorized person of Bonneville Rx Llc is Ravinder Annamaneni who is Member of the pharmacy and his contact number is 860-774-9362. Active license number of Bonneville Rx Llc is PCY0000159 for Community/Retail Pharmacy in Connecticut.
Bonneville Rx Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Bonneville Rx Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Bonneville Rx Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 77 Westcott Rd, Danielson, Connecticut, 06239-2929 |
| Phone: | 860-774-9362 |
| Fax: | 860-779-2647 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Ravinder Annamaneni |
| Position: | Member |
| Contact Number: | 860-774-9362 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1164587580 |
| NPI Enumeration Date: | 26 Dec, 2006 |
| NPI Last Update On: | 09 Sep, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bonneville Rx Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PCY0000159 | Connecticut | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2138266 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 77 Westcott Rd, Danielson, Connecticut |
| Zip: | 06239-2929 |
| Phone Number: | 860-774-9362 |
| Fax Number: | 860-779-2647 |
Patients can reach Bonneville Rx Llc at
77 Westcott Rd, Danielson, Connecticut or can
call on customer care at 860-774-9362.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.