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NPI Code Detail

MEDICARE: REGINA SILK PHARM D

MEDICARE: REGINA SILK PHARM D
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
11835P1200XPharmacotherapy Pharmacist6455CT

General Provider Information

NPI Number : 1427045129
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGINA SILK PHARM D
Provider Business Mailing Address
First Line : 177 FLORENCE ST
Second Line :
City : WINSTED
State : CT
Zip : 06098-1311
Country : US
Telephone Number : 860-585-3684
Fax Number :
Provider Business Practice Location Address
First Line : 41 BREWSTER RD
Second Line :
City : BRISTOL
State : CT
Zip : 06010-5161
Country : US
Telephone Number : 860-585-3684
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 07/08/2007

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