Healthcare Provider Details
I. General information
NPI: 1851671887
Provider Name (Legal Business Name): MUNA ZUGHAYER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/22/2011
Last Update Date: 08/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 UNIVERSAL DR N
NORTH HAVEN CT
06473-3156
US
IV. Provider business mailing address
200 UNIVERSAL DR N
NORTH HAVEN CT
06473-3156
US
V. Phone/Fax
- Phone: 203-859-3491
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | PCT.0011981 |
| License Number State | CT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: