Mariam Awad
Individual provider Active NPI Pharmacist · North Haven, CT
NPI 1952829103 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1952829103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0013524 (CT)
- Practice address
- 162 Washington Ave
North Haven, CT 06473-1711 - Phone
- (203) 239-4071
- NPI assigned
- Sep 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 0013524 | CT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0013524 | CT | Yes |
Addresses
Primary practice location
162 Washington Ave
North Haven, CT 06473-1711
Mailing address
162 Washington Ave
North Haven, CT 06473-1711
Phone (203) 239-4071
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- Kevin M Awugah
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All providers in North Haven, 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 Jul 21, 2022. 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.