Provider Demographics
NPI:1508158999
Name:KAHRIMANIS, JOSEPH G (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:G
Last Name:KAHRIMANIS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 HELLSTROM RD
Mailing Address - Street 2:
Mailing Address - City:EAST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06512-1320
Mailing Address - Country:US
Mailing Address - Phone:203-467-7150
Mailing Address - Fax:
Practice Address - Street 1:645 FOXON ROAD
Practice Address - Street 2:RITE AID PHARMACY
Practice Address - City:EAST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06513
Practice Address - Country:US
Practice Address - Phone:203-468-1039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4173183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist