Most Relevant Information
Provider Data
| NPI Number: | 1003495250 |
| Provider Name: | MAUREEN ANN DANISI |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 06173 |
Most Important Dates
| Enumeration Date: | 04/05/2021 |
| Last Updated: | 04/05/2021 |
Provider Practice Location
774 FARMINGTON AVE
WEST HARTFORD
CT
061191615
Practice Location Phone/Fax
| Phone: | 8602324595 |
| Fax: |
Provider Mailing Location
774 FARMINGTON AVE
WEST HARTFORD
CT
061191615
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |