NPI 1154816643

Jeannette Lynn Moran

Practitioner Pharmacist Milford, CT

Practice location

Address: 855 Bridgeport Ave, Milford, CT 06460-3171
Phone: (203) 876-0654
Fax: (844) 411-6456
Mailing address: 412 Janet Ln, Orange, CT 06477-2728

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 7970 (CT)

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Registry record

NPI: 1154816643
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2018
Record last updated: 27 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.