Provider Demographics
NPI:1841856226
Name:HECKT, ERIC MICHAEL (RPH)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:MICHAEL
Last Name:HECKT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 FRENCH RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06074-3758
Mailing Address - Country:US
Mailing Address - Phone:203-275-6987
Mailing Address - Fax:
Practice Address - Street 1:3 FRENCH RD
Practice Address - Street 2:
Practice Address - City:SOUTH WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06074-3758
Practice Address - Country:US
Practice Address - Phone:203-275-6987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-12
Last Update Date:2019-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0007155183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist