Bonneville Pharmacy And Home Care is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Danielson, Connecticut. It is situated at 77 Westcott Rd, Danielson and its contact number is 860-774-9362. The authorized person of Bonneville Pharmacy And Home Care is Robert F Nethercote
who is Owner President of the store and his/her contact number is 860-774-9362. Primary license number for Bonneville Pharmacy And Home Care is 159 in Connecticut. Bonneville Pharmacy And Home Care is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Center Profile:
Bonneville Pharmacy And Home Care Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Robert F Nethercote
Position:
Owner President
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 for Bonneville Pharmacy And Home Care center are as mentioned below.
NPI Number:
1063624922
NPI Enumeration Date:
04 May, 2007
NPI Last Update On:
22 Aug, 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 Bonneville Pharmacy And Home Care are as mentioned below.
Specialization
License Number
State
Status
159
Connecticut
Primary
159
Connecticut
Secondary
159
Connecticut
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
12DME0671CT01
Other
Connecticut
Bcbs
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Bonneville Pharmacy And Home Care 77 Westcott Rd, Danielson, Connecticut
Zip:
06239-2929
Phone Number:
860-774-9362
Fax Number:
860-779-2647
Patients can reach Bonneville Pharmacy And Home Care at 77 Westcott Rd, Danielson, Connecticut or can call to book an appointment on 860-774-9362. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.