Anthony Frank Alessio, PHARMD

Individual provider Active NPI Pharmacist · Pawcatuck, CT

NPI 1801930359 · NPPES record last updated Jul 7, 2009

Key facts

NPI
1801930359
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
10363 (CT)
Practice address
37 S Broad St
Pawcatuck, CT 06379-7909
Phone
(860) 599-4030
Fax
(860) 599-3640
NPI assigned
Feb 17, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
10363CTMDSocial Worker
RPH04502RIMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH04502 RI
Pharmacist 183500000X 10363 CT Yes

Addresses

Primary practice location

37 S Broad St
Pawcatuck, CT 06379-7909

Mailing address

37 S Broad St
Pawcatuck, CT 06379-7909

Other providers in Pawcatuck, CT

All providers in Pawcatuck, CT · Pharmacist in Connecticut

Sources for this page

Verify at the official NPI Registry.