Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE RUFUS MANGUM, PHARMD
Active Sole ProprietorBLAKE RUFUS MANGUM, PHARMD is a Pharmacist healthcare provider located in NEW HAVEN, Connecticut. NPI 1821827254 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · NEW HAVEN, CT
Registration Details
- NPI Number
- 1821827254
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2024 (2.0550515541591 yrs)
- Last Updated
- Sep 27, 2024
- Licenses
-
PCT.0016818 (CT)E-100727 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
55 PARK STNEW HAVEN, CT, 065115474Browse CT providers · Browse ZIP 06511
- Phone
- 2036884242
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist Clinician (PhC)
Other Pharmacist Providers in NEW HAVEN, CT
| Name | Credential | NPI |
|---|---|---|
| DR. TERESA H SEO | PHARMD | 1245230267 |
| MR. JOHN CAPUANO | — | 1679561278 |
| ROBERT JOHN DELVECCHIO | RPH | 1225028673 |
| CARL BRAUNSTEIN | RPH | 1023091881 |
| MR. WILLIAM WYSKIEL | — | 1043297724 |
| JOANNE MARY KISSELL | RPH | 1285611723 |
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.