MEDICARE: MR. MARK PETER PETRUZZI R.PH.

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	4633	CT
2	183500000X	Pharmacist	PCT4633	CT
3	183500000X	Pharmacist	PH24321	MA

General Provider Information

NPI Number	:	1043213770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARK PETER PETRUZZI R.PH.

Provider Business Mailing Address
First Line	:	56 SHIPMAN DR
Second Line	:
City	:	GLASTONBURG
State	:	CT
Zip	:	06033
Country	:	US
Telephone Number	:	860-633-1343
Fax Number	:

Provider Business Practice Location Address
First Line	:	78 ELIZABETH ST
Second Line	:
City	:	SOUTH WINDSOR
State	:	CT
Zip	:	06074-3411
Country	:	US
Telephone Number	:	860-528-5019
Fax Number	:

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

Provider Enumeration Date	:	05/26/2005
Last Update Date	:	11/04/2011

Similar Medicare Providers

1356469167 — MARY P PETRUZZI R.PH
Practice Location Address:

78 ELIZABETH ST
SOUTH WINDSOR, CT
06074-3411

Practice Phone: 860-528-5019
Practice Fax:

1356301675 — DR. PATRICIA L FERRARO D.P.M.
Practice Location Address:

2229 BARTON AVE
SOUTH LAKE TAHOE, CA
96150-3411

Practice Phone: 530-541-2665
Practice Fax: 530-541-2615

1134151251 — USHA GUPTA MD
Practice Location Address:

1701 SANTA ANITA AVE
SOUTH EL MONTE, CA
91733-3411

Practice Phone: 714-347-1000
Practice Fax: 714-647-1245

1497760151 — EVELYN YANIT VALENTON M.D.
Practice Location Address:

1701 SANTA ANITA AVE
SOUTH EL MONTE, CA
91733-3411

Practice Phone: 626-579-7777
Practice Fax: 626-350-7986

1922115526 — AHMC GREATER EL MONTE COMM HOSP LLC
Practice Location Address:

1701 SANTA ANITA AVE
SOUTH EL MONTE, CA
91733-3411

Practice Phone: 626-579-7777
Practice Fax: 626-579-7376

1255430047 — DR. BRUCE ALAN CRONHARDT D.M.D.
Practice Location Address:

514 SOUTH STREET
BOW, NH
03304-3411

Practice Phone: 603-224-3151
Practice Fax: 603-228-3417

Directions to “ MR. MARK PETER PETRUZZI R.PH.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.