Individual provider · Type 1 NPI

Mary Antonette Evangelista Cordon, PharmD

Pharmacist · Bridgeport, CT

NPI number 1407461890 Active

Practice location

267 Grant St
Bridgeport, CT 06610-2870

Call (203) 384-3000 Map

Mailing address

380 Mather St Apt 6414
Hamden, CT 06514-3199

Other practice locations

  • 55 Park St, New Haven, CT 06511-5474 · (203) 688-4242

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X0202217006 (VA)
Pharmacist 183500000XPTP.0000548 (CT)
Pharmacist Primary 183500000X28RI03890300 (NJ)

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 1407461890

Mary Antonette Evangelista Cordon, PharmD's National Provider Identifier is 1407461890, issued on Sep 11, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Bridgeport, CT. The record was last updated on Sep 11, 2020.