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Contact Information

KEANDRA BATES, PHARM.D.
1395 MIDDLETOWN AVE
NORTHFORD, CT06472-1395
 Phone: 203-484-0431
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for KEANDRA BATES · (Female)

NPI # 1124716667
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 04/24/2023
Last updated 04/24/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CT License # PCT.0014606
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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