Provider Demographics
NPI:1932563251
Name:BYLYKU, EVA (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:EVA
Middle Name:
Last Name:BYLYKU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:961 BLACK ROCK TPKE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-4702
Mailing Address - Country:US
Mailing Address - Phone:203-331-4731
Mailing Address - Fax:203-331-4747
Practice Address - Street 1:961 BLACK ROCK TPKE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-4702
Practice Address - Country:US
Practice Address - Phone:203-331-4731
Practice Address - Fax:203-331-4747
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0012700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist