Provider Demographics
NPI:1770879181
Name:WOJTASZEK, ALLYSON LOONEY (PHARMD RPH)
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:LOONEY
Last Name:WOJTASZEK
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 1:2177 KILLINGLY COMMONS DRIVE
Mailing Address - Street 2:T-2432
Mailing Address - City:DAYVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06241-2188
Mailing Address - Country:US
Mailing Address - Phone:860-412-1284
Mailing Address - Fax:860-412-1294
Practice Address - Street 1:2177 KILLINGLY CMNS
Practice Address - Street 2:T-2432
Practice Address - City:DAYVILLE
Practice Address - State:CT
Practice Address - Zip Code:06241-2188
Practice Address - Country:US
Practice Address - Phone:860-412-1284
Practice Address - Fax:860-412-1294
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10740183500000X
RI4384183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist