Provider Demographics
NPI:1992786099
Name:MCLAUGHLIN, DOROTHY CHAPKOVICH (BS)
Entity type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:CHAPKOVICH
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MS
Other - First Name:DOROTHY
Other - Middle Name:ANN
Other - Last Name:CHAPKOVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:RTE 12 BLDG 449
Mailing Address - Street 2:ATTN: PROFESSIONAL AFFAIRS
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06349-5600
Mailing Address - Country:US
Mailing Address - Phone:860-694-2377
Mailing Address - Fax:860-694-2590
Practice Address - Street 1:RTE 12 BLDG 449
Practice Address - Street 2:ATTN: PROFESSIONAL AFFAIRS
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06349-5600
Practice Address - Country:US
Practice Address - Phone:860-694-2377
Practice Address - Fax:860-694-2590
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT42271835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN