Provider Demographics
NPI:1295442382
Name:DAY, SAMEERAH M (PHARMD, MBA)
Entity type:Individual
Prefix:
First Name:SAMEERAH
Middle Name:M
Last Name:DAY
Suffix:
Gender:F
Credentials:PHARMD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WHISPERING PINES LN
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-2720
Mailing Address - Country:US
Mailing Address - Phone:951-544-5366
Mailing Address - Fax:
Practice Address - Street 1:705 BRIDGEPORT AVE
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-4704
Practice Address - Country:US
Practice Address - Phone:203-447-7013
Practice Address - Fax:203-297-6259
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA70572183500000X
CTPCT.0013172183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist