Rabab Ammar

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · New London, CT

NPI 1487212627 · NPPES record last updated Jun 3, 2019

Key facts

NPI
1487212627
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
CT9501 (CT)
Practice address
365 Montauk Ave
New London, CT 06320-4700
Phone
(860) 442-0711
NPI assigned
Jun 3, 2019
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

State licenses

LicenseStateTypeSpecialty
CT9501CTMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X CT9501 CT Yes

Addresses

Primary practice location

365 Montauk Ave
New London, CT 06320-4700

Mailing address

365 Montauk Ave
New London, CT 06320-4769
Phone (860) 442-0711

Other providers in New London, CT

All providers in New London, CT · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Connecticut

Sources for this page

Verify at the official NPI Registry.