Individual
NICHOLAS FORCELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(845) 642-3995
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(845) 642-3995
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PCT.0010748
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCT.0010748
STATE PHARMACIST LICENSE
CT
Enumeration date
05/28/2019
Last updated
05/28/2019
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