NPI 1003268939

Malka Fuzailov

Practitioner Pharmacist Riverside, CT

Practice location

Address: 1239 E Putnam Ave, Riverside, CT 06878-1522
Phone: (203) 698-4006

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PCT.0013526 (CT)

Other Pharmacist providers in Connecticut →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 061438 (NY)

Registry record

NPI: 1003268939
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2016
Record last updated: 10 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.