Provider Demographics
NPI:1164887188
Name:PALMERI, JOSEPH
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:PALMERI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:294 MAIN ST
Mailing Address - Street 2:BEACON PRESCRIPTIONS
Mailing Address - City:WINSTED
Mailing Address - State:CT
Mailing Address - Zip Code:06098-1688
Mailing Address - Country:US
Mailing Address - Phone:860-738-2506
Mailing Address - Fax:860-379-3876
Practice Address - Street 1:294 MAIN ST
Practice Address - Street 2:BEACON PRESCRIPTIONS
Practice Address - City:WINSTED
Practice Address - State:CT
Practice Address - Zip Code:06098-1688
Practice Address - Country:US
Practice Address - Phone:860-738-2506
Practice Address - Fax:860-379-3876
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-17
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0005828183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist