Provider Demographics
NPI:1427461219
Name:MURUGAVEL, ABIRAMI V (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:ABIRAMI
Middle Name:V
Last Name:MURUGAVEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 ELM ST
Mailing Address - Street 2:APT 306
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-5974
Mailing Address - Country:US
Mailing Address - Phone:201-757-7954
Mailing Address - Fax:
Practice Address - Street 1:8 S MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:TERRYVILLE
Practice Address - State:CT
Practice Address - Zip Code:06786-6235
Practice Address - Country:US
Practice Address - Phone:860-589-7713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0012707183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist