Provider Demographics
NPI:1073600649
Name:ZRX LLC
Entity Type:Organization
Organization Name:ZRX LLC
Other - Org Name:MCNEILS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZGORSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PD
Authorized Official - Phone:860-635-4048
Mailing Address - Street 1:319 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CROMWELL
Mailing Address - State:CT
Mailing Address - Zip Code:06416-2306
Mailing Address - Country:US
Mailing Address - Phone:860-635-4048
Mailing Address - Fax:860-635-3644
Practice Address - Street 1:319 MAIN ST
Practice Address - Street 2:
Practice Address - City:CROMWELL
Practice Address - State:CT
Practice Address - Zip Code:06416-2306
Practice Address - Country:US
Practice Address - Phone:860-635-4048
Practice Address - Fax:860-635-3644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT00523336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0701587Medicare UPIN
CT1240040001Medicare ID - Type Unspecified