Healthcare Provider Details

I. General information

NPI: 1073431896
Provider Name (Legal Business Name): ANNA SANDALIDIS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

289 POST RD E
WESTPORT CT
06880-3613
US

IV. Provider business mailing address

289 POST RD E
WESTPORT CT
06880-3613
US

V. Phone/Fax

Practice location:
  • Phone: 203-226-0741
  • Fax: 203-226-3085
Mailing address:
  • Phone: 203-226-0741
  • Fax: 203-226-3085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPCT.0017180
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: