Individual
DR. JENNIFER OBRIEN ANASTASIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18518
NC
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
21578
MD
1835P2201X
Ambulatory Care Pharmacist
18518
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116877
—
NC
Enumeration date
09/25/2009
Last updated
05/21/2020
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