Individual
TAMARA MALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, MPH, BCPS
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511
(203) 789-4044
Mailing address
23 HAYWARD RD, HAMDEN, CT 06514-3326
(859) 396-7545
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
I09090
KY
1835P2201X
Ambulatory Care Pharmacist
Primary
0013001
CT
Other
Enumeration date
09/07/2011
Last updated
06/20/2018
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