Provider Demographics
NPI:1457588220
Name:SUMMA, MARIA A (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:A
Last Name:SUMMA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 INDIAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-2818
Mailing Address - Country:US
Mailing Address - Phone:860-714-7983
Mailing Address - Fax:860-714-8000
Practice Address - Street 1:114 WOODLAND STREET DEPARTMENT OF PHARMACY
Practice Address - Street 2:SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105
Practice Address - Country:US
Practice Address - Phone:860-714-7983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT081631835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy