NPI 1033646732

David Allan Vangeersdaele, PHARMACIST

Practitioner Pharmacist Watertown, CT

Practice location

Address: 763 Straits Tpke Stop & Shop #657, Watertown, CT 06795-3318
Phone: (860) 274-7461
Fax: (860) 274-6124
Mailing address: 763 Straits Tpke Stop, Watertown, CT 06795-3318

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 0005564 (CT)

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Registry record

NPI: 1033646732
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2017
Record last updated: 12 May 2017

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.