Organization
NORTH STREET PHARMACY
Active
Other names
FISCELLA INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL ANDREW FISCELLA RPH (PHARMACY MANAGER OWNER)
12038692130
Entity
Organization
Contact information
Practice address
1043 NORTH STREET, GREENWICH, CT 06831-2701
(203) 869-2130
(203) 869-9227
Mailing address
1043 NORTH STREET, GREENWICH, CT 06831-2701
(203) 869-2130
(203) 869-9227
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0741
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0711437
NABP#
CT
01
—
PCY0000741
STATE LICENSE
CT
Enumeration date
01/18/2007
Last updated
06/11/2010
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