Provider Demographics
NPI:1699971531
Name:MULSKI, PATRICK STEVEN (RPH)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:STEVEN
Last Name:MULSKI
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 1:11 POLE BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SANDY HOOK
Mailing Address - State:CT
Mailing Address - Zip Code:06482-1224
Mailing Address - Country:US
Mailing Address - Phone:203-364-0348
Mailing Address - Fax:
Practice Address - Street 1:200 FEDERAL RD
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-2514
Practice Address - Country:US
Practice Address - Phone:203-740-7965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7246183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist