MEDICARE: CHRISTINE WOZNIAK

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	0007162	CT

General Provider Information

NPI Number	:	1093091753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE WOZNIAK

Provider Business Mailing Address
First Line	:	922 SILVER LN
Second Line	:
City	:	EAST HARTFORD
State	:	CT
Zip	:	06118-1248
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	922 SILVER LN
Second Line	:
City	:	EAST HARTFORD
State	:	CT
Zip	:	06118-1248
Country	:	US
Telephone Number	:	860-569-4120
Fax Number	:	860-569-9517

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

Provider Enumeration Date	:	10/26/2011
Last Update Date	:	10/26/2011

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Directions to “ CHRISTINE WOZNIAK ” Practice Location

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