Lori Anne Belmont, PHARMD

Individual provider Active NPI Pharmacist · Stafford Springs, CT

NPI 1912490202 · NPPES record last updated Jul 20, 2018

Key facts

NPI
1912490202
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
0008032 (CT)
Practice address
87 W Stafford Rd
Stafford Springs, CT 06076
Phone
(860) 684-4597
NPI assigned
Jun 11, 2018
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
0008032CTMDPharmacist
20536MAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20536 MA
Pharmacist 183500000X 0008032 CT Yes

Addresses

Primary practice location

87 W Stafford Rd
Stafford Springs, CT 06076

Mailing address

87 W Stafford Rd
Stafford Springs, CT 06076-1044
Phone (860) 684-4597

Other providers in Stafford Springs, CT

All providers in Stafford Springs, CT · Pharmacist in Connecticut

Sources for this page

Verify at the official NPI Registry.