Active NPIIndividual provider

Sally Park, PHARMD

Pharmacist in Stratford, Connecticut

NPI Number1154790665
Practice location
1606 Barnum Ave, Stratford, CT 06614-5301
Fax
—
Last updated
September 15, 2015

Sally Park is a Pharmacist based in Stratford, CT. Sally Park practices in Stratford, CT and has the professional credentials of PHARMD. The NPI Number for Sally Park is 1154790665 and holds a License No. PCT.0013517 (CT). The current practice location address for Sally Park is 1606 Barnum Ave, Stratford, CT 06614-5301 and can be reached out via phone at 203-377-2851.

Provider Profile Details

NPI Number
1154790665
Provider Name
Sally Park
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
1606 Barnum Ave, Stratford, CT 06614-5301
Phone Number
203-377-2851
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
September 15, 2015
Last Update Date
September 15, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1606 Barnum Ave
Stratford, CT 06614-5301
Zip
06614-5301
Phone Number
203-377-2851
Stratford, CT 06614Get directions →

Provider Business Mailing Address Details

Address
7222 Avalon Gates
Trumbull, CT 06611-5825
City
Trumbull
State
CT
Zip
06611-5825
Phone Number
917-292-3861

License Information

License Number
PCT.0013517
License State
CT
Taxonomy
Pharmacist · 183500000X · 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 Sally Park, PHARMD?

The NPI number of Sally Park, PHARMD is 1154790665. It was assigned on September 15, 2015 and is currently active in the NPPES registry.

What is the specialty of Sally Park, PHARMD?

Sally Park, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number PCT.0013517.

Where does Sally Park, PHARMD practice?

The practice location is 1606 Barnum Ave, Stratford, CT 06614-5301. The office can be reached at 203-377-2851 (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 1154790665 directly on the NPPES registry website.

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