CARISSA FAVA

NEW LONDON, CT
NPI1952787434
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: RI  rph05471)
Additional Taxonomies183500000X Pharmacist
(Licence: CT  PCT.0013810)
Enumeration Date2015-08-06
Last Update Date2026-05-11
Business Address
CARISSA FAVA
365 MONTAUK AVE
NEW LONDON, CT 06320-4700
Phone number: 401-632-8362
Mailing Address
CARISSA FAVA
1 CLEO CT
WESTERLY, RI 02891-1334
Phone number: