Provider Demographics
NPI:1093082174
Name:MAKATI, SHITAL (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:SHITAL
Middle Name:
Last Name:MAKATI
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 1:940 SOUTH QUAKER LANE
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06110
Mailing Address - Country:US
Mailing Address - Phone:860-231-7665
Mailing Address - Fax:860-231-7120
Practice Address - Street 1:940 SOUTH QUAKER LANE
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06110
Practice Address - Country:US
Practice Address - Phone:860-231-7665
Practice Address - Fax:860-231-7120
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0009182183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist