Healthcare Provider Details

I. General information

NPI: 1598323610
Provider Name (Legal Business Name): BRIANNE KRAWCZYK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2019
Last Update Date: 11/27/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 HOWARD AVE HVC CENTER-2ND FLOOR
NEW HAVEN CT
06519
US

IV. Provider business mailing address

55 PARK STREET PHARMACY ATTN: BRIANNE KRAWCZYK
NEW HAVEN CT
06511
US

V. Phone/Fax

Practice location:
  • Phone: 203-789-3350
  • Fax:
Mailing address:
  • Phone: 203-688-1111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPCT.0013736
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: