Healthcare Provider Details

I. General information

NPI: 1144503848
Provider Name (Legal Business Name): PATRICK CHARLES HARVEY RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2011
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 MAIN ST STE 7
DANBURY CT
06810-5847
US

IV. Provider business mailing address

1203 HIGH RIDGE RD
STAMFORD CT
06905-1214
US

V. Phone/Fax

Practice location:
  • Phone: 203-297-6130
  • Fax: 203-297-6132
Mailing address:
  • Phone: 203-322-7669
  • Fax: 203-322-9465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPCT.0009780
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: