Healthcare Provider Details

I. General information

NPI: 1437462041
Provider Name (Legal Business Name): AMY C SZYMCZAKIEWICZ PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2010
Last Update Date: 02/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

577 MEADOW ST
CHICOPEE MA
01013-1876
US

IV. Provider business mailing address

577 MEADOW ST
CHICOPEE MA
01013-1876
US

V. Phone/Fax

Practice location:
  • Phone: 413-592-4696
  • Fax: 413-592-4973
Mailing address:
  • Phone: 413-592-4696
  • Fax: 413-592-4973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPCT.0010768
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: