NPI 1972265460

Grace Marie Gutierrez

Practitioner Pharmacy Technician Bridgeport, CT

Practice location

Address: 1060 E Main St, Bridgeport, CT 06608-1915
Phone: (203) 382-0009

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence PTN.0022351 (CT)

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Registry record

NPI: 1972265460
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Oct 2021
Record last updated: 12 Oct 2021

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.