Active NPIIndividual provider

Betool Al-Mazraawy, PHARMD

Pharmacist, Pediatrics in Bridgeport, Connecticut

NPI Number1104419126
Practice location
267 Grant St, Bridgeport, CT 06610-2870
Fax
—
Last updated
December 18, 2021

Betool Al-Mazraawy is a Pharmacist, Pediatrics based in Bridgeport, CT. Betool Al-Mazraawy practices in Bridgeport, CT and has the professional credentials of PHARMD. The NPI Number for Betool Al-Mazraawy is 1104419126 and holds a License No. PCT.0014548 (CT). The current practice location address for Betool Al-Mazraawy is 267 Grant St, Bridgeport, CT 06610-2870 and can be reached out via phone at 203-384-3252.

Provider Profile Details

NPI Number
1104419126
Provider Name
Betool Al-Mazraawy
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
267 Grant St, Bridgeport, CT 06610-2870
Phone Number
203-384-3252
Primary Taxonomy
Pharmacist, Pediatrics · 1835P0200X
Sole Proprietor
No
Provider Enumeration Date
February 20, 2021
Last Update Date
December 18, 2021
Certification Date
December 18, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
267 Grant St
Bridgeport, CT 06610-2870
Zip
06610-2870
Phone Number
203-384-3252
Bridgeport, CT 06610Get directions →

Provider Business Mailing Address Details

Address
98 Levesque Ave
West Hartford, CT 06110-1136
City
West Hartford
State
CT
Zip
06110-1136
Phone Number
860-593-5597

License Information

License Number
PCT.0014548
License State
CT
Taxonomy
Pharmacist, Pediatrics · 1835P0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Betool Al-Mazraawy, PHARMD?

The NPI number of Betool Al-Mazraawy, PHARMD is 1104419126. It was assigned on February 20, 2021 and is currently active in the NPPES registry.

What is the specialty of Betool Al-Mazraawy, PHARMD?

Betool Al-Mazraawy, PHARMD is registered under the primary taxonomy Pharmacist, Pediatrics (code 1835P0200X), licensed in CT under license number PCT.0014548.

Where does Betool Al-Mazraawy, PHARMD practice?

The practice location is 267 Grant St, Bridgeport, CT 06610-2870. The office can be reached at 203-384-3252 (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 1104419126 directly on the NPPES registry website.

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