Petruzzi, Mark Peter
Petruzzi, Mark Peter is an individual health care provider with primary practice located at 78 Elizabeth St , South Windsor CT 06074-3411. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Petruzzi, Mark Peter can be contacted via phone (860) 528-5019.Contact Information
Primary practice address
78 Elizabeth St
South Windsor CT 06074-3411
Phone: (860) 528-5019
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 4633 | Connecticut |
| Pharmacy Service Providers / Pharmacist | 183500000X | PCT4633 | Connecticut |
| Pharmacy Service Providers / Pharmacist | 183500000X | PH24321 | Massachusetts |
Profile Details
| NPI number | 1043213770 |
|---|---|
| LBN Legal business name | Petruzzi, Mark Peter |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2005 |
| Last updated | Nov 4th, 2011 - about 13 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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