Fyne, Andrew Anthony

Fyne, Andrew Anthony is an individual health care provider with primary practice located at 220 Albany Tpke , Canton CT 06019-2565. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Fyne, Andrew Anthony can be contacted via phone (860) 693-8329.

Contact Information

Primary practice address
220 Albany Tpke Canton CT 06019-2565
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PTN.0014593 Connecticut

Profile Details

NPI number 1780230714
LBN Legal business name Fyne, Andrew Anthony
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2019
Last updated May 8th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780230714 NPPES
Connecticut MEDICAID PCT.0014593

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