Provider Demographics
NPI:1326443300
Name:THE WESTON CENTER PHARMACY LLC
Entity Type:Organization
Organization Name:THE WESTON CENTER PHARMACY LLC
Other - Org Name:LANG'S PHARMACY OF WESTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:RANDAZZO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:203-226-7800
Mailing Address - Street 1:190 WESTON RD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:CT
Mailing Address - Zip Code:06883-2126
Mailing Address - Country:US
Mailing Address - Phone:203-226-7800
Mailing Address - Fax:203-226-9300
Practice Address - Street 1:190 WESTON RD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:CT
Practice Address - Zip Code:06883-2126
Practice Address - Country:US
Practice Address - Phone:203-226-7800
Practice Address - Fax:203-226-9300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-03
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
CTPCY.00020983336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2149256OtherPK
CTFR008057177Medicaid