Dana George
Individual provider Active NPI Pharmacist · Wallingford, CT
NPI 1598539488 · NPPES record last updated Nov 10, 2023
Key facts
- NPI
- 1598539488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0016268 (CT)
- Practice address
- 891 N Colony Rd
Wallingford, CT 06492-2437 - Phone
- (203) 294-8890
- NPI assigned
- Nov 10, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0016268 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut CVS Pharmacy LLC | Past |
Accepting new patients | |
| Connecticut CVS Pharmacy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0016268 | CT | Yes |
Addresses
Primary practice location
891 N Colony Rd
Wallingford, CT 06492-2437
Mailing address
190 Greenway St
Hamden, CT 06517-1817
Phone (203) 676-2826
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All providers in Wallingford, CT · Pharmacist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.