NPI 1164208393

Illene Chelsea Dezfuli, PHARMD

Practitioner Ambulatory Care Pharmacist East Lyme, CT

Practice location

Address: 204 Buoy Ln, East Lyme, CT 06333-1777
Phone: (203) 688-9450

Registered specialties (2)

Ambulatory Care Pharmacist Primary

Pharmacy Service Providers Taxonomy 1835P2201X Licence 0016422 (CT)

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Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 0016422 (CT)

Registry record

NPI: 1164208393
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Sep 2023
Record last updated: 5 Sep 2023

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.