Provider Demographics
NPI:1962682161
Name:ZYGMUNT, CASIMIR JOHN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CASIMIR
Middle Name:JOHN
Last Name:ZYGMUNT
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 1:40 BIRCHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:CT
Mailing Address - Zip Code:06483-3806
Mailing Address - Country:US
Mailing Address - Phone:203-881-2975
Mailing Address - Fax:
Practice Address - Street 1:40 BIRCHWOOD RD
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:CT
Practice Address - Zip Code:06483-3806
Practice Address - Country:US
Practice Address - Phone:203-881-2975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6902183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist