Provider Demographics
NPI:1467420836
Name:PARA-PHARM INC
Entity Type:Organization
Organization Name:PARA-PHARM INC
Other - Org Name:MEDICAL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:WOJNAR
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:860-423-1661
Mailing Address - Street 1:1213 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILLIMANTIC
Mailing Address - State:CT
Mailing Address - Zip Code:06226-1907
Mailing Address - Country:US
Mailing Address - Phone:860-423-1661
Mailing Address - Fax:860-423-4334
Practice Address - Street 1:1213 MAIN ST
Practice Address - Street 2:
Practice Address - City:WILLIMANTIC
Practice Address - State:CT
Practice Address - Zip Code:06226-1907
Practice Address - Country:US
Practice Address - Phone:860-423-1661
Practice Address - Fax:860-423-4334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTOR4667OtherHEALTHNET
CT12DME0074CT01OtherBUE CROSS BLUE SHIELD
CTA861013OtherOXFORD
CTA861013OtherOXFORD