Individual
EDWARD RAYMOND PERLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1176 GRANBY RD, CHICOPEE, MA 01020-1549
(413) 532-0991
Mailing address
1176 GRANBY RD, CHICOPEE, MA 01020-1549
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH24082
MA
1835P2201X
Ambulatory Care Pharmacist
24082
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487753786
BUSINESS NPI
MA
01
—
1487793786
CVS NPI NUMBER
MA
05
—
1487793786
—
MA
Enumeration date
11/18/2020
Last updated
11/18/2020
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