Active NPIIndividual providerSole proprietor

Malka Fuzailov

Pharmacist in Riverside, Connecticut

NPI Number1003268939
Practice location
1239 E Putnam Ave, Riverside, CT 06878-1522
Fax
—
Last updated
July 10, 2016

Malka Fuzailov is a Pharmacist based in Riverside, CT. Malka Fuzailov practices in Riverside, CT. The NPI Number for Malka Fuzailov is 1003268939 and holds a License No. 061438 (NY). The current practice location address for Malka Fuzailov is 1239 E Putnam Ave, Riverside, CT 06878-1522 and can be reached out via phone at 203-698-4006.

Provider Profile Details

NPI Number
1003268939
Provider Name
Malka Fuzailov
Provider Entity Type
Individual
Gender
Female
Address
1239 E Putnam Ave, Riverside, CT 06878-1522
Phone Number
203-698-4006
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
July 3, 2016
Last Update Date
July 10, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1239 E Putnam Ave
Riverside, CT 06878-1522
Zip
06878-1522
Phone Number
203-698-4006
Riverside, CT 06878Get directions →

Provider Business Mailing Address Details

Address
1239 E Putnam Ave
Riverside, CT 06878-1522
City
Riverside
State
CT
Zip
06878-1522

License Information

License Number (1)
061438
License State (1)
NY
Taxonomy (1)
Pharmacist · 183500000X
License Number (2)
Pct.0013526
License State (2)
CT
Taxonomy (2)
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Malka Fuzailov?

The NPI number of Malka Fuzailov is 1003268939. It was assigned on July 3, 2016 and is currently active in the NPPES registry.

What is the specialty of Malka Fuzailov?

Malka Fuzailov is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NY under license number 061438.

Where does Malka Fuzailov practice?

The practice location is 1239 E Putnam Ave, Riverside, CT 06878-1522. The office can be reached at 203-698-4006 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003268939 directly on the NPPES registry website.

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