NPI 1154925352

Youseph Makkawi

Practitioner Pharmacist Shelton, CT

Practice location

Address: 705 Bridgeport Ave, Shelton, CT 06484-4704
Phone: (203) 447-7013

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PCT.0015262 (CT)

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Registry record

NPI: 1154925352
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Nov 2020
Record last updated: 28 Nov 2020

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.