Healthcare Provider Details

I. General information

NPI: 1982964722
Provider Name (Legal Business Name): KRISTEN L RYCHALSKY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2012
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 PARK ST
NEW HAVEN CT
06519-1110
US

IV. Provider business mailing address

114 DAVIS RD
SEYMOUR CT
06483-2333
US

V. Phone/Fax

Practice location:
  • Phone: 203-200-4444
  • Fax: 475-666-0511
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPCT.0011040
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: