Provider Demographics
NPI:1053768226
Name:FRAPPIER, CELESTE
Entity type:Individual
Prefix:
First Name:CELESTE
Middle Name:
Last Name:FRAPPIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 PROVIDENCE PIKE
Mailing Address - Street 2:
Mailing Address - City:PUTNAM
Mailing Address - State:CT
Mailing Address - Zip Code:06260-2413
Mailing Address - Country:US
Mailing Address - Phone:860-963-2548
Mailing Address - Fax:860-963-2597
Practice Address - Street 1:57 PROVIDENCE PIKE
Practice Address - Street 2:
Practice Address - City:PUTNAM
Practice Address - State:CT
Practice Address - Zip Code:06260-2413
Practice Address - Country:US
Practice Address - Phone:860-963-2548
Practice Address - Fax:860-963-2597
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT05468183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist