Individual
KEVIN CZARZASTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
256 BUNKER HILL AVE, WATERBURY, CT 06708-1906
(203) 574-7825
Mailing address
25 BUTTERNUT LN, WATERTOWN, CT 06795-1424
(860) 945-6798
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6818
CT
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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