NPI 1356469167

Mary P Petruzzi, RPH

Practitioner Pharmacist South Windsor, CT

Practice location

Address: 78 Elizabeth St, South Windsor, CT 06074-3411
Phone: (860) 528-5019

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 4064 (CT)

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Registry record

NPI: 1356469167
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Mar 2007
Record last updated: 8 Jul 2007

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.