Provider Demographics
NPI:1982119343
Name:GUARINO, ROBERT (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:GUARINO
Suffix:
Gender:M
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 1:863 OLD HARTFORD RD
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06415-2542
Mailing Address - Country:US
Mailing Address - Phone:860-817-5511
Mailing Address - Fax:
Practice Address - Street 1:863 OLD HARTFORD RD
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06415-2542
Practice Address - Country:US
Practice Address - Phone:860-817-5511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-07
Last Update Date:2017-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCI.0007066183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist