Tracey Donovan
Pharmacist in East Berlin, Connecticut
1104377837- Practice location
- 80 Clark Dr, East Berlin, CT 06023-1157
- Phone
- 888-319-1818
- Fax
- —
- Last updated
- October 18, 2016
Tracey Donovan is a Pharmacist based in East Berlin, CT. Tracey Donovan practices in East Berlin, CT. The NPI Number for Tracey Donovan is 1104377837 and holds a License No. 8472 (CT). The current practice location address for Tracey Donovan is 80 Clark Dr, East Berlin, CT 06023-1157 and can be reached out via phone at 888-319-1818.
Provider Profile Details
- NPI Number
- 1104377837
- Provider Name
- Tracey Donovan
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 80 Clark Dr, East Berlin, CT 06023-1157
- Phone Number
- 888-319-1818
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 18, 2016
- Last Update Date
- October 18, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 80 Clark Dr
East Berlin, CT 06023-1157 - City
- East Berlin
- State
- Connecticut
- Zip
- 06023-1157
- Phone Number
- 888-319-1818
Provider Business Mailing Address Details
- Address
- 80 Clark Dr
East Berlin, CT 06023-1157 - City
- East Berlin
- State
- CT
- Zip
- 06023-1157
- Phone Number
- 888-319-1818
License Information
- License Number
- 8472
- License State
- CT
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tracey Donovan?
The NPI number of Tracey Donovan is 1104377837. It was assigned on October 18, 2016 and is currently active in the NPPES registry.
What is the specialty of Tracey Donovan?
Tracey Donovan is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number 8472.
Where does Tracey Donovan practice?
The practice location is 80 Clark Dr, East Berlin, CT 06023-1157. The office can be reached at 888-319-1818 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104377837 directly on the NPPES registry website.