# NORTH STREET PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FISCELLA INC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790838365
- **Authorized official:** MR. PAUL ANDREW FISCELLA RPH (PHARMACY MANAGER OWNER)
- **Authorized official phone:** 12038692130

## Contact information

- **Practice address:** 1043 NORTH STREET, GREENWICH, CT 06831-2701
- **Practice address phone:** (203) 869-2130
- **Practice address fax:** (203) 869-9227
- **Mailing address:** 1043 NORTH STREET, GREENWICH, CT 06831-2701
- **Mailing address phone:** (203) 869-2130
- **Mailing address fax:** (203) 869-9227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 0741 | CT | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 06/11/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0711437 | NABP\# | CT |
| 01 | — | PCY0000741 | STATE LICENSE | CT |