Provider Demographics
NPI:1942860325
Name:REMES, ELIZABETH A (RPH)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:REMES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 PROCTOR DR
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06117-2038
Mailing Address - Country:US
Mailing Address - Phone:860-236-8969
Mailing Address - Fax:
Practice Address - Street 1:287 MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06118-1885
Practice Address - Country:US
Practice Address - Phone:860-785-6052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6080183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist