Individual
JENNIFER MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
847 HOLLAND HILL RD, FAIRFIELD, CT 06824-5270
(727) 543-6362
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014913
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCT.0014913
DEPARTMENT OF CONSUMER PROTECTION
CT
Enumeration date
07/17/2019
Last updated
11/27/2023
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