Provider Demographics
NPI:1992275887
Name:AFORISMO, JOHN FRANCIS (RPH)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:FRANCIS
Last Name:AFORISMO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14 RED BIRD TRL
Mailing Address - Street 2:
Mailing Address - City:OLD SAYBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06475-1819
Mailing Address - Country:US
Mailing Address - Phone:860-436-5712
Mailing Address - Fax:860-436-2772
Practice Address - Street 1:1233 SILAS DEANE HWY STE 201
Practice Address - Street 2:
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-4301
Practice Address - Country:US
Practice Address - Phone:860-436-5712
Practice Address - Fax:860-436-2772
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-04
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT4687183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist