Individual
MR. EDMUND J FUNARO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
714 DIXWELL AVE, NEW HAVEN, CT 06511-1038
(203) 562-6878
Mailing address
290 TOWPATH LN, CHESHIRE, CT 06410-3314
(203) 272-5943
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3928
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04026233
—
CT
Enumeration date
01/08/2007
Last updated
07/08/2007
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