Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ILLENE CHELSEA DEZFULI, PHARMD
ActiveAmbulatory Care Pharmacist · EAST LYME, CT
Registration Details
- NPI Number
- 1164208393
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 5, 2023 (2.6266893475908 yrs)
- Last Updated
- Sep 5, 2023
- Licenses
-
0016422 (CT)0016422 (CT)
Practice Information
- Address
-
204 BUOY LNEAST LYME, CT, 063331777Browse CT providers · Browse ZIP 06333
- Phone
- 2036889450
- Primary Specialty
-
Ambulatory Care Pharmacist
1835P2201X
- Additional Specialty
- Ambulatory Care Pharmacist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.