NPI 1164714770

Alexander Michael Botros, RPHJD

Practitioner Pharmacist Watertown, CT

Practice location

Address: 1271 Main St Rite Aid 922, Watertown, CT 06795-3107
Phone: (860) 274-9191
Fax: (860) 274-4370

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 0007269 (CT)

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Registry record

NPI: 1164714770
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2011
Record last updated: 15 May 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.