UCONN HEALTH CENTER OUTPATIENT PAVILION PHARMACY (Credential# 1279324) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
UCONN HEALTH CENTER OUTPATIENT PAVILION PHARMACY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059879.HOSP. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 263 Farmington Ave, Farmington, CT 06030. The current status is active.
| Licensee Name | UCONN HEALTH CENTER OUTPATIENT PAVILION PHARMACY |
| Business Name | UCONN HEALTH CENTER OUTPATIENT PAVILION PHARMACY |
| Credential ID | 1279324 |
| Credential Number | CSP.0059879.HOSP |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
263 Farmington Ave Farmington CT 06030 |
| Business Type | BUSINESS |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-04-21 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-17 |
| Street Address | 263 Farmington Ave |
| City | Farmington |
| State | CT |
| Zip Code | 06030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Matthew D Goranson | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2026-06-30 |
| Jacob Silver | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Nicholas Bellas | 263 Farmington Ave, Farmington, CT 06032-1956 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Jennifer Hale | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Cory R Hewitt | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Sango Huwaa Mosia Asante | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Ryan Desrochers | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Kelsey D Greenhalgh | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
| Derek J Tow | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | Farmington |
| Zip Code | 06030 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Farmington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Uconn Health Center Pharmacy | 270 Farmington Ave Ste 108, Farmington, CT 06032-1965 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Uconn Health Center · Paul Kramer Phd | Dept of Pharmacy Mc2205, Farmington, CT 06030 | Controlled Substance Laboratory | 1998-02-01 ~ 1999-01-31 |
| Uconn Health Center · Gary Gollan | Uconn School of Medicine/ess, Farmington, CT 06030-1830 | Controlled Substance Laboratory | 2002-02-01 ~ 2003-01-31 |
| Uconn Health Center · Robert S Dixon Dvm | Center for Lab Animal Care, Farmington, CT 06030 | Controlled Substance Laboratory | 1992-02-07 ~ 1993-01-31 |
| Uconn Health Center · Prof Hew F Thomas | Dept of Pediatric Dent, Farmington, CT 06030 | Controlled Substance Laboratory | 1992-02-07 ~ 1993-01-31 |
| Uconn Health Center · Mitchell J Kresch Md | Dept of Pediatrics Mc2948, Farmington, CT 06030 | Controlled Substance Laboratory | 2000-02-01 ~ 2001-01-31 |
| Uconn Health Center · Leon A Assael Dmd | Oral & Maxillofacial Surgery, Farmington, CT 06030 | Controlled Substance Laboratory | 1997-02-01 ~ 1998-01-31 |
| Uconn Health Center · Martin S Giniger Dmd | Biostructure & Function-l7037, Farmington, CT 06030 | Controlled Substance Laboratory | 1993-02-25 ~ 1994-01-31 |
| Uconn Health Center · Robert B Duckrow Md | Dept of Neurology Amd28, Farmington, CT 06030 | Controlled Substance Laboratory | 1999-02-01 ~ 2000-01-31 |
| Uconn Health Center · Prof Dale Greiner Md | Dept of Pathology, Farmington, CT 06030 | Controlled Substance Laboratory | 1995-02-24 ~ 1996-01-31 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).