Active NPIIndividual providerSole proprietor

Soo Dewolf

Pharmacist in Brooklyn, Connecticut

NPI Number1699143685
Practice location
450 Providence RD, Brooklyn, CT 06234-1823
Fax
860-412-5138
Last updated
September 8, 2015

Soo Dewolf is a Pharmacist based in Brooklyn, CT. Soo Dewolf practices in Brooklyn, CT. The NPI Number for Soo Dewolf is 1699143685 and holds a License No. 9104 (CT). The current practice location address for Soo Dewolf is 450 Providence RD, Brooklyn, CT 06234-1823 and can be reached out via phone at 860-412-5144 and via fax at 860-412-5138.

Provider Profile Details

NPI Number
1699143685
Provider Name
Soo Dewolf
Provider Entity Type
Individual
Gender
Female
Address
450 Providence RD, Brooklyn, CT 06234-1823
Phone Number
860-412-5144
Fax Number
860-412-5138
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
September 8, 2015
Last Update Date
September 8, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
450 Providence RD
Brooklyn, CT 06234-1823
Zip
06234-1823
Phone Number
860-412-5144
Fax Number
860-412-5138
Brooklyn, CT 06234Get directions →

Provider Business Mailing Address Details

Address
450 Providence RD
Brooklyn, CT 06234-1823
City
Brooklyn
State
CT
Zip
06234-1823
Phone Number
860-412-5144
Fax Number
860-412-5138

License Information

License Number
9104
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 Soo Dewolf?

The NPI number of Soo Dewolf is 1699143685. It was assigned on September 8, 2015 and is currently active in the NPPES registry.

What is the specialty of Soo Dewolf?

Soo Dewolf is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number 9104.

Where does Soo Dewolf practice?

The practice location is 450 Providence RD, Brooklyn, CT 06234-1823. The office can be reached at 860-412-5144 (phone) or 860-412-5138 (fax).

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 1699143685 directly on the NPPES registry website.

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