IndividualActive
Maia Determan
NPI 1497324503 · Pharmacotherapy Pharmacist · New Haven, CT
Provider details
- NPI number
- 1497324503
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PCT.0015719 (CT)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
55 Park St
New Haven, CT 06511-5474
Phone: (203) 688-4242
Approximate (ZIP-level) locationGet directions
Mailing address
55 Park St
New Haven, CT 06511-5474
Additional practice locations (1)
- 20 York StNew Haven, CT 06510-3220Phone: (203) 688-4242
Registry dates
- Enumerated
- 2021-06-22
- Last updated
- 2021-06-22
- Certified
- 2021-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.