Individual provider · Type 1 NPI

Peter Tyczkowski, R.PH.

Pharmacist · Storrs Mansfield, CT

NPI number 1174685663 Active

Practice location

69 N Eagleville Rd Unit 3092
Storrs Mansfield, CT 06269-3092

Mailing address

523 E Carriage Dr
Glastonbury, CT 06033-3302

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5409 (CT)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1174685663

Peter Tyczkowski, R.PH.'s National Provider Identifier is 1174685663, issued on Dec 14, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Storrs Mansfield, CT. The record was last updated on Jul 8, 2007.