CARISSA FAVA
Individual Provider (NPI-1)
Active
Pharmacist
Provider Information
- NPI Number
1952787434- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 365 MONTAUK AVE, NEW LONDON, CT, 063204700
- Phone
- (401) 632-8362
Specialties & Taxonomies
Pharmacist
License: CT #PCT.0013810
Pharmacist
Primary License: RI #rph05471
All Addresses
MAILING
1 CLEO CT
WESTERLY, RI, 028911334