Healthcare Provider Details

I. General information

NPI: 1003411950
Provider Name (Legal Business Name): CARA ELIZABETH CIFARELLI RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2020
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5065 MAIN ST
TRUMBULL CT
06611-4204
US

IV. Provider business mailing address

32 KYLE JOSEPH TER
PROSPECT CT
06712-6801
US

V. Phone/Fax

Practice location:
  • Phone: 203-873-2014
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15423
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: