MEDICARE: HEIDI ORGANEK

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	183700000X	Pharmacy Technician	0004644	CT

General Provider Information

NPI Number	:	1922499888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI ORGANEK

Provider Business Mailing Address
First Line	:	125 BUCKLAND HILLS DR
Second Line	:
City	:	MANCHESTER
State	:	CT
Zip	:	06042-8701
Country	:	US
Telephone Number	:	860-327-0083
Fax Number	:	860-327-0563

Provider Business Practice Location Address
First Line	:	125 BUCKLAND HILLS DR
Second Line	:
City	:	MANCHESTER
State	:	CT
Zip	:	06042-8701
Country	:	US
Telephone Number	:	860-327-0083
Fax Number	:	860-327-0563

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

Provider Enumeration Date	:	02/13/2015
Last Update Date	:	02/13/2015

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Directions to “ HEIDI ORGANEK ” Practice Location

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