Soo Dewolf

Pharmacist · Brooklyn, CT

Individual Active NPI

NPI number 1699143685

Practice location

450 Providence Rd
Brooklyn, CT 06234-1823
Phone
(860) 412-5144
Fax
(860) 412-5138

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NPI record

NPI
1699143685
Entity type
Individual (Type 1)
Enumeration date
September 8, 2015
Last updated
September 8, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 9104 CT

About Soo Dewolf

Soo Dewolf is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 450 Providence Rd, Brooklyn, CT 06234-1823. The NPI number 1699143685 was assigned on September 8, 2015 and the record was last updated on September 8, 2015.

Soo Dewolf lists a license in the registry: #9104 (CT) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Soo Dewolf?

The NPI number is 1699143685.

What is the phone number of Soo Dewolf?

The phone number listed for the practice location is (860) 412-5144.

Where is Soo Dewolf located?

450 Providence Rd, Brooklyn, CT 06234-1823.

What is the taxonomy code for Soo Dewolf?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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