Individual
TAMARA JEAN BYSTRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
819 ASPEN GLEN DR, HAMDEN, CT 06518-5310
(203) 558-0677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014063
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCT.0014063
CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION
CT
Enumeration date
09/07/2017
Last updated
09/07/2017
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