Healthcare Provider Details

I. General information

NPI: 1982923819
Provider Name (Legal Business Name): JANET K SZYMANSKI RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2010
Last Update Date: 05/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 OLD BRICKYARD LN
BERLIN CT
06037-1423
US

IV. Provider business mailing address

210 CEDAR SWAMP RD
DEEP RIVER CT
06417-1567
US

V. Phone/Fax

Practice location:
  • Phone: 180-028-2432
  • Fax:
Mailing address:
  • Phone: 860-526-4816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5403
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: