Active NPIIndividual providerSole proprietor

Mr. Peter Tyczkowski, RPH

Pharmacist in Storrs Mansfield, Connecticut

NPI Number1174685663
Practice location
69 N Eagleville RD Unit 3092, Storrs Mansfield, CT 06269-3092
Fax
—
Last updated
July 8, 2007

Peter Tyczkowski is a Pharmacist based in Storrs Mansfield, CT. Peter Tyczkowski practices in Storrs Mansfield, CT and has the professional credentials of RPH. The NPI Number for Peter Tyczkowski is 1174685663 and holds a License No. 5409 (CT). The current practice location address for Peter Tyczkowski is 69 N Eagleville RD Unit 3092, Storrs Mansfield, CT 06269-3092 and can be reached out via phone at 860-486-3151.

Provider Profile Details

NPI Number
1174685663
Provider Name
Peter Tyczkowski
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
69 N Eagleville RD Unit 3092, Storrs Mansfield, CT 06269-3092
Phone Number
860-486-3151
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
December 14, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
69 N Eagleville RD Unit 3092
Storrs Mansfield, CT 06269-3092
Zip
06269-3092
Phone Number
860-486-3151
Storrs Mansfield, CT 06269Get directions →

Provider Business Mailing Address Details

Address
523 E Carriage Dr
Glastonbury, CT 06033-3302
City
Glastonbury
State
CT
Zip
06033-3302
Phone Number
860-486-3151

License Information

License Number
5409
License State
CT
Taxonomy
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 Mr. Peter Tyczkowski, RPH?

The NPI number of Mr. Peter Tyczkowski, RPH is 1174685663. It was assigned on December 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Peter Tyczkowski, RPH?

Mr. Peter Tyczkowski, RPH is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number 5409.

Where does Mr. Peter Tyczkowski, RPH practice?

The practice location is 69 N Eagleville RD Unit 3092, Storrs Mansfield, CT 06269-3092. The office can be reached at 860-486-3151 (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 1174685663 directly on the NPPES registry website.

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