Provider Demographics
NPI:1285123695
Name:SANZ, AVRIL MARIE (PHARMD RPH)
Entity type:Individual
Prefix:DR
First Name:AVRIL
Middle Name:MARIE
Last Name:SANZ
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 1:656 ELLSWORTH ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06605-2528
Mailing Address - Country:US
Mailing Address - Phone:203-685-8028
Mailing Address - Fax:203-502-7655
Practice Address - Street 1:150 BARNUM AVENUE CUTOFF
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-5111
Practice Address - Country:US
Practice Address - Phone:203-502-7629
Practice Address - Fax:203-502-7655
Is Sole Proprietor?:No
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9567183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist