Provider Demographics
NPI:1407443559
Name:SABIA, EMMA KATHERINE (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:KATHERINE
Last Name:SABIA
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 MILL RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06903-1624
Mailing Address - Country:US
Mailing Address - Phone:508-397-1228
Mailing Address - Fax:
Practice Address - Street 1:537 CANAL ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-5901
Practice Address - Country:US
Practice Address - Phone:203-323-1293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0012621183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist