Provider Demographics
NPI:1437462041
Name:SZYMCZAKIEWICZ, AMY C (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:C
Last Name:SZYMCZAKIEWICZ
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 MEADOW ST
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01013-1876
Mailing Address - Country:US
Mailing Address - Phone:413-592-4696
Mailing Address - Fax:413-592-4973
Practice Address - Street 1:577 MEADOW ST
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01013-1876
Practice Address - Country:US
Practice Address - Phone:413-592-4696
Practice Address - Fax:413-592-4973
Is Sole Proprietor?:No
Enumeration Date:2010-07-23
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0010768183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist