Doctor Name: | MRS. MIRALDA GUTMAN |
NPI Number: | 1922151125 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2916 |
Business Practice Address: | 172 W Main St Meriden, CT - 064514104 |
Business Phone Number: | 2032356305 |
Business Fax Number: | 2032350244 |
Mailing Address: | 320 Marion Ave, PLANTSVILLE |
State: | CT |
Postal Code: | 064791407 |
Phone Number: | 8606280899 |
Fax Number: | 2032350244 |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 2916 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |