Individual provider · Type 1 NPI

Amanda Lee Staak, PHARM D

Pharmacist · New Haven, CT

NPI number 1013223841 Active

Practice location

325 Ferry St
New Haven, CT 06513-3702

Call (203) 777-0695 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPCT.0010533 (CT)
Pharmacist 183500000X62743 (CA)
Pharmacist 183500000X17721 (CO)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1013223841

Amanda Lee Staak, PHARM D's National Provider Identifier is 1013223841, issued on Aug 31, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in New Haven, CT. The record was last updated on Aug 31, 2010.