NPI 1265756456

Trang DO

Practitioner Pharmacist Riverside, CT

Practice location

Address: 1333 E Putnam Ave, Riverside, CT 06878-1529
Phone: (203) 637-1496
Mailing address: 239 Husted St, Port Chester, NY 10573-3108

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 10309 (CT)

Other Pharmacist providers in Connecticut →

Registry record

NPI: 1265756456
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Mar 2010
Record last updated: 17 Mar 2010

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.