MEDICARE: FRANCESCO MARINI

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	0008799	CT

General Provider Information

NPI Number	:	1366738643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCESCO MARINI

Provider Business Mailing Address
First Line	:	121 HILLHOUSE RD
Second Line	:
City	:	WATERBURY
State	:	CT
Zip	:	06705-3407
Country	:	US
Telephone Number	:	203-754-4434
Fax Number	:

Provider Business Practice Location Address
First Line	:	430-A NORTH MAIN ST
Second Line	:
City	:	BRISTOL
State	:	CT
Zip	:	06010-4117
Country	:	US
Telephone Number	:	860-582-3491
Fax Number	:

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

Provider Enumeration Date	:	06/24/2011
Last Update Date	:	06/24/2011

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Directions to “ FRANCESCO MARINI ” Practice Location

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