Individual provider · Type 1 NPI

Mary Elsenboss Tyrrell, BS PHARM, PD

Pharmacist · Woodbury, CT

NPI number 1629665492 Active

Practice location

2 Main St N
Woodbury, CT 06798-2950

Fax (203) 263-7244

Mailing address

PO Box 363
Woodbury, CT 06798-0363

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPCT.0005949 (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 1629665492

Mary Elsenboss Tyrrell, BS PHARM, PD's National Provider Identifier is 1629665492, issued on Dec 28, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Woodbury, CT. The record was last updated on Dec 28, 2020.