Provider Demographics
NPI:1083754907
Name:NASTRI, PASQUALE III (RPH)
Entity Type:Individual
Prefix:
First Name:PASQUALE
Middle Name:
Last Name:NASTRI
Suffix:III
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CRYSTAL LN
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-2165
Mailing Address - Country:US
Mailing Address - Phone:203-269-4943
Mailing Address - Fax:
Practice Address - Street 1:3 CRYSTAL LN
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-2165
Practice Address - Country:US
Practice Address - Phone:203-269-4943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7459183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist