Search › Connecticut › 183500000X
Derek Gyllenhammer
NPI 1245788157 · on the registry since 2016 · sole proprietor
Practice
- Address
- 163 Mountain Rd
Suffield, CT 06078 - Phone
- (860) 668-5115
- Fax
- (860) 668-0856
- Organisation at this address
- Connecticut Cvs Pharmacy, L.L.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut