Provider Demographics
NPI:1104193630
Name:ZITO, VINCENT MICHAEL (RPH)
Entity Type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:MICHAEL
Last Name:ZITO
Suffix:
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 1:62 MAXWELL DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06461-2738
Mailing Address - Country:US
Mailing Address - Phone:203-877-0724
Mailing Address - Fax:
Practice Address - Street 1:54 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-3201
Practice Address - Country:US
Practice Address - Phone:203-795-6001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4337183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist