MEDICARE: NAGY WASSEF RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	7478	CT

General Provider Information

NPI Number	:	1932791647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAGY WASSEF RPH

Provider Business Mailing Address
First Line	:	535 BOSTON POST RD
Second Line	:
City	:	OLD SAYBROOK
State	:	CT
Zip	:	06475-1506
Country	:	US
Telephone Number	:	860-339-5667
Fax Number	:	860-339-5796

Provider Business Practice Location Address
First Line	:	535 BOSTON POST RD
Second Line	:
City	:	OLD SAYBROOK
State	:	CT
Zip	:	06475-1506
Country	:	US
Telephone Number	:	860-339-5667
Fax Number	:	860-339-5796

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2021
Last Update Date	:	02/04/2021

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