Active NPIIndividual provider

Grace Park

Pharmacist in Uncasville, Connecticut

NPI Number1265991830
Practice location
2005 Norwich New London Tpke, Uncasville, CT 06382-1369
Fax
—
Last updated
March 13, 2019

Grace Park is a Pharmacist based in Uncasville, CT. Grace Park practices in Uncasville, CT. The NPI Number for Grace Park is 1265991830 and holds a License No. PCT.14114 (CT). The current practice location address for Grace Park is 2005 Norwich New London Tpke, Uncasville, CT 06382-1369 and can be reached out via phone at 860-848-3202.

Provider Profile Details

NPI Number
1265991830
Provider Name
Grace Park
Provider Entity Type
Individual
Gender
Female
Address
2005 Norwich New London Tpke, Uncasville, CT 06382-1369
Phone Number
860-848-3202
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
March 13, 2019
Last Update Date
March 13, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
2005 Norwich New London Tpke
Uncasville, CT 06382-1369
Zip
06382-1369
Phone Number
860-848-3202
Uncasville, CT 06382Get directions →

Provider Business Mailing Address Details

Address
87 Strawberry St
Lisbon, CT 06351-2837
City
Lisbon
State
CT
Zip
06351-2837

License Information

License Number
PCT.14114
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 Grace Park?

The NPI number of Grace Park is 1265991830. It was assigned on March 13, 2019 and is currently active in the NPPES registry.

What is the specialty of Grace Park?

Grace Park is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number PCT.14114.

Where does Grace Park practice?

The practice location is 2005 Norwich New London Tpke, Uncasville, CT 06382-1369. The office can be reached at 860-848-3202 (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 1265991830 directly on the NPPES registry website.

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