Dezfuli, Illene Chelsea

Dezfuli, Illene Chelsea is an individual health care provider with primary practice located at 204 Buoy Ln , East Lyme CT 06333-1777. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Ambulatory Care. Pharmacy Service Providers / Ambulatory Care is her primary health care specialty. Dezfuli, Illene Chelsea can be contacted via phone (203) 688-9450.

Contact Information

Primary practice address
204 Buoy Ln East Lyme CT 06333-1777
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0016422 Connecticut
Pharmacy Service Providers / Ambulatory Care 1835P2201X 0016422 Connecticut

Profile Details

NPI number 1164208393
LBN Legal business name Dezfuli, Illene Chelsea
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2023
Last updated Sep 5th, 2023 - about last year

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.

Request for update

Popular Providers