Connecticut Pharmacy East Rock Ltc
Long Term Care Pharmacy
10 Fairfield Blvd Unit C2, Wallingford
Connecticut, 06492-5903
203-691-5405 203-691-5107
Connecticut Pharmacy East Rock Ltc is a Long Term Care Pharmacy in Wallingford, Connecticut. It is located at 10 Fairfield Blvd Unit C2, Wallingford and it's customer support contact number is 203-691-5405. The authorized person of Connecticut Pharmacy East Rock Ltc is Scott Wolak who is Rph/president of the pharmacy and his contact number is 203-518-1146. Active license number of Connecticut Pharmacy East Rock Ltc is PCY0002218 for Long Term Care Pharmacy in Connecticut. Connecticut Pharmacy East Rock Ltc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Connecticut Pharmacy East Rock Ltc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Connecticut Pharmacy East Rock Ltc 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: | Connecticut Pharmacy East Rock Ltc |
| Type: | Long Term Care Pharmacy |
| Location: | 10 Fairfield Blvd Unit C2, Wallingford,
Connecticut, 06492-5903 |
| Phone: | 203-691-5405 |
| Fax: | 203-691-5107 |
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: | Scott Wolak |
| Position: | Rph/president |
| Contact Number: | 203-518-1146 |
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: | 1740578335 |
| NPI Enumeration Date: | 15 Jul, 2011 |
| NPI Last Update On: | 22 Jun, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Connecticut Pharmacy East Rock Ltc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | PCY0002218 | Connecticut | Primary | |
| Community/Retail Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Compounding Pharmacy | | | Secondary | |
| Pharmacy | | | Secondary | |
| Specialty Pharmacy | | | Secondary | |
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 |
| 2131131 | Other | | Pk |
| 008033891 | Medicaid | Connecticut | |
Medicare Enrollment:
Connecticut Pharmacy East Rock Ltc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2769619121 | O20131211000852 | East Rock Pharmacy Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 10 Fairfield Blvd, Unit C
Wallingford, Connecticut |
| Zip: | 06492-5903 |
| Phone Number: | 203-691-5405 |
| Fax Number: | 203-691-5107 |
Patients can reach Connecticut Pharmacy East Rock Ltc at
10 Fairfield Blvd Unit C2, Wallingford, Connecticut or can
call on customer care at 203-691-5405.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.