Bethany Henri, PHARMD

Individual provider Active NPI Pharmacist · East Hampton, CT

NPI 1134846272 · NPPES record last updated Oct 19, 2022

Key facts

NPI
1134846272
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
0014528 (CT)
Practice address
54 E High St
East Hampton, CT 06424-1052
Phone
(860) 267-6853
Fax
(860) 267-0148
NPI assigned
Oct 19, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0014528CTMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0014528 CT Yes

Addresses

Primary practice location

54 E High St
East Hampton, CT 06424-1052

Mailing address

54 E High St
East Hampton, CT 06424-1052

Other providers in East Hampton, CT

All providers in East Hampton, CT · Pharmacist in Connecticut

Sources for this page

Verify at the official NPI Registry.