Individual
SARAH REBEKAH PECKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1060 EAST MAIN STREET, BRIDGEPORT, CT 06608
(203) 382-0009
Mailing address
87 BURGUNDY HILL LANE, MIDDLETOWN, CT 06457
(203) 836-7382
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008530
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008530
CONNECTICUT BOARD OF PHARMACY
CT
Enumeration date
03/25/2022
Last updated
03/25/2022
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