Provider Demographics
NPI:1164555694
Name:HARRINGTON, GERARD L (RPH, MBA)
Entity Type:Individual
Prefix:MR
First Name:GERARD
Middle Name:L
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:RPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 MICHAEL ST
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-6907
Mailing Address - Country:US
Mailing Address - Phone:203-797-1911
Mailing Address - Fax:
Practice Address - Street 1:20 MICHAEL ST
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6907
Practice Address - Country:US
Practice Address - Phone:203-797-1911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5702183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT5702OtherPHARMACY LICENSE NUMBER