Provider Demographics
NPI:1073238309
Name:CONTRACTOR, SHARMIN ARSHAD (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:SHARMIN
Middle Name:ARSHAD
Last Name:CONTRACTOR
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 ELM ST
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-3770
Mailing Address - Country:US
Mailing Address - Phone:860-741-8054
Mailing Address - Fax:
Practice Address - Street 1:90 ELM ST
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-3770
Practice Address - Country:US
Practice Address - Phone:860-741-8054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT00015646183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist