Derienzo, Lydia

Derienzo, Lydia is an individual health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Derienzo, Lydia can be contacted via phone (860) 442-0711.

Contact Information

Primary practice address
365 Montauk Ave New London CT 06320-4700
Phone: (860) 442-0711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 1108091 Connecticut

Profile Details

NPI number 1265084487
LBN Legal business name Derienzo, Lydia
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2019
Last updated Jul 9th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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