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NPI Code Detail

MEDICARE: KIMBERLY MROZINSKI

MEDICARE: KIMBERLY MROZINSKI
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
1183500000XPharmacist9191CT

General Provider Information

NPI Number : 1437435823
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY MROZINSKI
Provider Business Mailing Address
First Line : 125 BUCKLAND HILLS DR
Second Line : T-1249
City : MANCHESTER
State : CT
Zip : 06042-8701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 125 BUCKLAND HILLS DR
Second Line : T-1249
City : MANCHESTER
State : CT
Zip : 06042-8701
Country : US
Telephone Number : 860-327-0083
Fax Number : 860-327-0083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2011
Last Update Date : 10/29/2011

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Directions to “ KIMBERLY MROZINSKI ” Practice Location

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