Provider Demographics
NPI:1518418078
Name:CZACHOR, ALBERT ZYGMUNT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:ZYGMUNT
Last Name:CZACHOR
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:UNCASVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06382-1503
Mailing Address - Country:US
Mailing Address - Phone:860-389-8422
Mailing Address - Fax:
Practice Address - Street 1:49 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:UNCASVILLE
Practice Address - State:CT
Practice Address - Zip Code:06382-1503
Practice Address - Country:US
Practice Address - Phone:860-389-8422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0013725183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist