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NPI Code Detail

MEDICARE: MELISSA AUBIN PHARMD

MEDICARE:   MELISSA  AUBIN  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist14161CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336703958
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA AUBIN PHARMD
Provider Business Mailing Address
First Line : 212 ORCHARD AVE
Second Line :
City : NEWINGTON
State : CT
Zip : 06111-5440
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 150 S MAIN ST
Second Line :
City : WEST HARTFORD
State : CT
Zip : 06107-3432
Country : US
Telephone Number : 860-561-6164
Fax Number : 860-561-8546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2019
Last Update Date : 04/29/2019

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