Lattana T Kettavong, PHARMD
Pharmacist in Clinton, Connecticut
1245998996- Practice location
- 218 E Main St, Clinton, CT 06413-2230
- Phone
- 860-664-4641
- Fax
- 860-664-1632
- Last updated
- November 30, 2021
Lattana Tina Kettavong is a Pharmacist based in Clinton, CT. Lattana Tina Kettavong practices in Clinton, CT and has the professional credentials of PHARMD. The NPI Number for Lattana Tina Kettavong is 1245998996 and holds a License No. PCT.0015656 (CT). The current practice location address for Lattana Tina Kettavong is 218 E Main St, Clinton, CT 06413-2230 and can be reached out via phone at 860-664-4641 and via fax at 860-664-1632.
Provider Profile Details
- NPI Number
- 1245998996
- Provider Name
- Lattana Tina Kettavong
- Credential
- PHARMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 218 E Main St, Clinton, CT 06413-2230
- Phone Number
- 860-664-4641
- Fax Number
- 860-664-1632
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 30, 2021
- Last Update Date
- November 30, 2021
- Certification Date
- November 30, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 218 E Main St
Clinton, CT 06413-2230 - City
- Clinton
- State
- Connecticut
- Zip
- 06413-2230
- Phone Number
- 860-664-4641
- Fax Number
- 860-664-1632
Provider Business Mailing Address Details
- Address
- 92 Stonegate RD
New Britain, CT 06053-2649 - City
- New Britain
- State
- CT
- Zip
- 06053-2649
- Phone Number
- 860-830-2122
License Information
- License Number
- PCT.0015656
- 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. | |||
Other Pharmacists near Clinton, CT
View all Pharmacists in Clinton →- Dr. Melanie Masse, PHARMDPharmacist · NPI 1598292104
- Dr. Michael L'Italien, PHARMDPharmacist · NPI 1134405764
- Dr. Mohammad M Mansour, PHARMDPharmacist · NPI 1699471946
- James T Griskauskas, PHARM DPharmacist · NPI 1760087480
- Jeremy TuckerPharmacist · NPI 1750818639
- Michele Marciniak, PHARMACISTPharmacist · NPI 1700315793
Frequently Asked Questions
What is the NPI number of Lattana T Kettavong, PHARMD?
The NPI number of Lattana T Kettavong, PHARMD is 1245998996. It was assigned on November 30, 2021 and is currently active in the NPPES registry.
What is the specialty of Lattana T Kettavong, PHARMD?
Lattana T Kettavong, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number PCT.0015656.
Where does Lattana T Kettavong, PHARMD practice?
The practice location is 218 E Main St, Clinton, CT 06413-2230. The office can be reached at 860-664-4641 (phone) or 860-664-1632 (fax).
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 1245998996 directly on the NPPES registry website.