Individual
MR. PETER TYCZKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
69 N EAGLEVILLE RD UNIT 3092, STORRS MANSFIELD, CT 06269-3092
(860) 486-3151
Mailing address
523 E CARRIAGE DR, GLASTONBURY, CT 06033-3302
(860) 486-3151
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5409
CT
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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