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Contact Information

CLARISSA CHAN, PHARM.D.
148 EASTERN BLVD
400
GLASTONBURY, CT06033-4321
 Phone: 860-657-8014
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for CLARISSA CHAN · (Female)

NPI Number 1447651013
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 09/15/2014
Last updated 09/15/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CT License # PCT.0013008
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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