Individual
EBTISAM ELHUSSIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
66 CHURCH ST, NEW HAVEN, CT 06510-3304
(203) 933-5260
Mailing address
22 KATIE LN, NORTH HAVEN, CT 06473-2857
(203) 927-6382
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015697
CT
Other
Enumeration date
05/10/2022
Last updated
10/18/2022
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