Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATTANA TINA KETTAVONG, PHARMD
ActiveLATTANA TINA KETTAVONG, PHARMD is a Pharmacist healthcare provider located in CLINTON, Connecticut. NPI 1245998996 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · CLINTON, CT
Registration Details
- NPI Number
- 1245998996
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 30, 2021 (4.6767005761058 yrs)
- Last Updated
- Nov 30, 2021
- License
-
PCT.0015656 (CT)
Practice Information
- Address
-
218 E MAIN STCLINTON, CT, 064132230Browse CT providers · Browse ZIP 06413
- Phone
- 8606644641
- Fax
- 8606641632
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in CLINTON, CT
| Name | Credential | NPI |
|---|---|---|
| MS. DEBRA L UPDYKE | RPH | 1265415673 |
| MS. JANICE PEGGY HAN | REGISTER PHARMACIST | 1447350764 |
| THOMAS L DAILEY | PHARM.D. | 1205988367 |
| TIMOTHY EARLE MCDEVITT | RPH | 1073817904 |
| MRS. LAUREN MARY LEO | RPH | 1558644260 |
| MS. TRACEY JEAN LEARY | RPH | 1831473438 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.