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Contact Information

ROBERT A WOLLENBERG, RPH
57 SOUTH ST
BRISTOL, CT06010-6524
 Phone: 860-583-1006
 Fax: 860-582-2810
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for ROBERT A WOLLENBERG · (Male)

NPI # 1093787186
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 02/03/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 5012
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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