Provider Demographics
NPI:1154819258
Name:SZOKA, MATTHEW GARTH (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:GARTH
Last Name:SZOKA
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 PROSPECT HILL RD
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06088-9501
Mailing Address - Country:US
Mailing Address - Phone:860-292-1573
Mailing Address - Fax:860-292-6192
Practice Address - Street 1:44 PROSPECT HILL RD
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06088-9501
Practice Address - Country:US
Practice Address - Phone:860-292-1573
Practice Address - Fax:860-292-6192
Is Sole Proprietor?:No
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0010755183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist