Provider Demographics
NPI:1144730896
Name:BRITTO, SARITA LILLIAN (PHARMD)
Entity type:Individual
Prefix:
First Name:SARITA
Middle Name:LILLIAN
Last Name:BRITTO
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 1:157 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-4712
Mailing Address - Country:US
Mailing Address - Phone:203-502-3297
Mailing Address - Fax:
Practice Address - Street 1:49 S MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-2141
Practice Address - Country:US
Practice Address - Phone:203-270-4658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-09
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0013528183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist