Provider Demographics
NPI:1275223448
Name:MANZI, CHRISTINE SARA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:SARA
Last Name:MANZI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06057-2120
Mailing Address - Country:US
Mailing Address - Phone:860-469-5400
Mailing Address - Fax:860-238-7881
Practice Address - Street 1:4 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06057-2120
Practice Address - Country:US
Practice Address - Phone:860-469-5400
Practice Address - Fax:860-238-7881
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT008784183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist