Healthcare Provider Details

I. General information

NPI: 1033720669
Provider Name (Legal Business Name): MEGAN TROMBI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 08/17/2020
Certification Date: 08/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 PARK ST
NEW HAVEN CT
06511-5474
US

IV. Provider business mailing address

55 PARK ST
NEW HAVEN CT
06511-5474
US

V. Phone/Fax

Practice location:
  • Phone: 774-487-5207
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License NumberPH238201
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: