Individual
STEPHEN MIECZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4531 MAIN ST, BRIDGEPORT, CT 06606-1846
(203) 371-6972
Mailing address
546 WILCOXSON AVE, STRATFORD, CT 06614-4237
(203) 218-8526
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0004802
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCT.0004802
PHARMACIST
CT
Enumeration date
06/09/2018
Last updated
06/09/2018
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