Provider Demographics
NPI:1225336837
Name:OCONNOR, DENIS J (RPH)
Entity Type:Individual
Prefix:MR
First Name:DENIS
Middle Name:J
Last Name:OCONNOR
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 1:30 LOMBARD DR
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06712-1634
Mailing Address - Country:US
Mailing Address - Phone:203-758-0009
Mailing Address - Fax:
Practice Address - Street 1:141 MERIDEN RD
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06705-1937
Practice Address - Country:US
Practice Address - Phone:203-573-0378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-05
Last Update Date:2011-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6627183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist