Active NPIIndividual provider

Mr. Edward T Moldenhauer, RPH (MS BPHARM)

Pharmacist, Pharmacotherapy in Groton, Connecticut

NPI Number1992788962
Practice location
Route 12 Bldg 449, Naval Ambulatory Care Center Attn Professional Affairs, Groton, CT 06349-5600
Fax
860-694-2590
Last updated
March 3, 2010

Edward Thomas Moldenhauer is a Pharmacist, Pharmacotherapy based in Groton, CT. Edward Thomas Moldenhauer practices in Groton, CT and has the professional credentials of RPH (MS BPHARM). The NPI Number for Edward Thomas Moldenhauer is 1992788962 and holds a License No. 28RI02090700 (NJ). The current practice location address for Edward Thomas Moldenhauer is Route 12 Bldg 449, Naval Ambulatory Care Center Attn Professional Affairs, Groton, CT 06349-5600 and can be reached out via phone at 860-694-2377 and via fax at 860-694-2590.

Provider Profile Details

NPI Number
1992788962
Provider Name
Edward Thomas Moldenhauer
Credential
RPH (MS BPHARM)
Provider Entity Type
Individual
Gender
Male
Address
Route 12 Bldg 449, Naval Ambulatory Care Center Attn Professional Affairs, Groton, CT 06349-5600
Phone Number
860-694-2377
Fax Number
860-694-2590
Primary Taxonomy
Pharmacist, Pharmacotherapy · 1835P1200X
Sole Proprietor
No
Other Names
Mr. Edward Thomas Moldenhauer, RPH (MS BPHARM) (Other Name)
Provider Enumeration Date
November 23, 2005
Last Update Date
March 3, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
Route 12 Bldg 449
Naval Ambulatory Care Center Attn Professional Affairs
Groton, CT 06349-5600
City
Groton
Zip
06349-5600
Phone Number
860-694-2377
Fax Number
860-694-2590
Groton, CT 06349Get directions →

Provider Business Mailing Address Details

Address
1 Annie George Dr
Po Box 3559
Mashantucket, CT 06338-3559
City
Mashantucket
State
CT
Zip
06338-3559
Phone Number
860-396-2058
Fax Number
860-396-6212

License Information

License Number
28RI02090700
License State
NJ
Taxonomy
Pharmacist, Pharmacotherapy · 1835P1200X · 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 Mr. Edward T Moldenhauer, RPH (MS BPHARM)?

The NPI number of Mr. Edward T Moldenhauer, RPH (MS BPHARM) is 1992788962. It was assigned on November 23, 2005 and is currently active in the NPPES registry.

What is the specialty of Mr. Edward T Moldenhauer, RPH (MS BPHARM)?

Mr. Edward T Moldenhauer, RPH (MS BPHARM) is registered under the primary taxonomy Pharmacist, Pharmacotherapy (code 1835P1200X), licensed in NJ under license number 28RI02090700.

Where does Mr. Edward T Moldenhauer, RPH (MS BPHARM) practice?

The practice location is Route 12 Bldg 449, Naval Ambulatory Care Center Attn Professional Affairs, Groton, CT 06349-5600. The office can be reached at 860-694-2377 (phone) or 860-694-2590 (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 1992788962 directly on the NPPES registry website.

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