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Lattana Tina Kettavong, PHARMD
Pharmacist in Clinton, Connecticut
NPI 1245998996

Lattana Tina Kettavong is a Pharmacist based in New Britain, 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 (Connecticut).

The current practice location address for Lattana Tina Kettavong is 218 E Main St, Clinton, CT and can be reached out via phone at 860-664-4641 and via fax at 860-664-1632.

Location: 218 E Main St, Clinton, CT, 06053-2649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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, 06053-2649
Phone Number
860-664-4641
Fax Number
860-664-1632
Provider Enumeration Date
11/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
218 E Main St
City
Clinton
State
Connecticut
Zip
06413-2230
Phone Number
860-664-4641
Fax Number
860-664-1632
person
Provider Business Mailing Address Details
Address
218 E Main St
City
Clinton
State
Connecticut
Zip
06413-2230
Phone Number
860-664-4641
Fax Number
860-664-1632
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PCT.0015656 (Connecticut)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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