Provider Demographics
NPI:1356894794
Name:ANNE, CHITTI BABU (RPH)
Entity type:Individual
Prefix:MR
First Name:CHITTI BABU
Middle Name:
Last Name:ANNE
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 1:333 ARCH ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-2520
Mailing Address - Country:US
Mailing Address - Phone:860-225-9000
Mailing Address - Fax:860-225-9100
Practice Address - Street 1:333 ARCH ST
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-2520
Practice Address - Country:US
Practice Address - Phone:860-225-9000
Practice Address - Fax:860-225-9100
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0012860183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist