NPI 1043213770

Mark Peter Petruzzi, RPH

Practitioner Pharmacist South Windsor, CT

Practice location

Address: 78 Elizabeth St, South Windsor, CT 06074-3411
Phone: (860) 528-5019
Mailing address: 56 Shipman Dr, Glastonburg, CT 06033

Registered specialties (3)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PCT4633 (CT)

Other Pharmacist providers in Connecticut →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 4633 (CT)

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence PH24321 (MA)

Registry record

NPI: 1043213770
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 May 2005
Record last updated: 4 Nov 2011

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.