NPI 1164916631

Matthew Mazzucco, PHARMD

Practitioner Pharmacist East Haven, CT

Practice location

Address: 370 Hemingway Ave, East Haven, CT 06512-3240
Phone: (203) 468-1113

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PCT.0013418 (CT)

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Registry record

NPI: 1164916631
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2018
Record last updated: 19 Jun 2018

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.