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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARY ANTONETTE EVANGELISTA CORDON, PHARMD

Active Sole Proprietor

DR. MARY ANTONETTE EVANGELISTA CORDON, PHARMD is a Pharmacist healthcare provider located in BRIDGEPORT, Connecticut. NPI 1407461890 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · BRIDGEPORT, CT

Registration Details

NPI Number
1407461890
Provider Type
Individual
Gender
Female
NPI Issued
Sep 11, 2020 (5.9199204189898 yrs)
Last Updated
Sep 11, 2020
Licenses
0202217006 (VA)
PTP.0000548 (CT)
28RI03890300 (NJ)
Sole Proprietor
Yes

Practice Information

Address
267 GRANT ST
BRIDGEPORT, CT, 066102870
Browse CT providers · Browse ZIP 06610
Phone
2033843000
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist
Additional Specialty
Pharmacist

Other Pharmacist Providers in BRIDGEPORT, CT

Name Credential NPI
MISS JENNIFER SCHREIBER DIZNEY PHARMD 1609933795
KIM M DORSEY RPH 1972643617
MR. RICHARD J CHUNG RPH 1114056454
TIZITA FEKREDENGEL 1477735223
MARCELLINE ALECIA ZACCA-MCFARLANE PHARMD 1316175169
DR. JEAN K JACOB PHARM.D. 1417280652
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.