Fekredengel, Tizita

Fekredengel, Tizita is an individual health care provider with primary practice located at 982 E Main St , Bridgeport CT 06608-1913. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Fekredengel, Tizita can be contacted via phone (203) 696-3260.

Contact Information

Primary practice address
982 E Main St Bridgeport CT 06608-1913
Phone: (203) 696-3260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 20 050809 New York
Pharmacy Service Providers / Pharmacist 183500000X 52841 California
Pharmacy Service Providers / Pharmacist 183500000X 116424 Minnesota
Pharmacy Service Providers / Pharmacist 183500000X 10279 Connecticut

Profile Details

NPI number 1477735223
LBN Legal business name Fekredengel, Tizita
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2007
Last updated May 2nd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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