Lattana Tina Kettavong, PHARMD - Pharmacist in Clinton, CT

Lattana Tina Kettavong, PHARMD is a Pharmacist based in Clinton, Connecticut. Lattana Tina Kettavong is licensed to practice in Connecticut (license number PCT.0015656) and her current practice location is 218 E Main St, Clinton, Connecticut. She can be reached at her office (for appointments etc.) via phone at (860) 664-4641.

NPI number for Lattana Tina Kettavong is 1245998996 and her current mailing address is 92 Stonegate Rd, New Britain, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245998996.

Contact Information

Lattana Tina Kettavong, PHARMD
218 E Main St,
Clinton, CT 06413-2230
(860) 664-4641
(860) 664-1632

Map and Direction


Healthcare Provider's Profile

Full NameLattana Tina Kettavong
GenderFemale
SpecialityPharmacist
Location218 E Main St, Clinton, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245998996
  • Provider Enumeration Date: 11/30/2021
  • Last Update Date: 11/30/2021

Medical Identifiers

Medical identifiers for Lattana Tina Kettavong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245998996NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist PCT.0015656 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lattana Tina Kettavong is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lattana Tina Kettavong, PHARMD
92 Stonegate Rd,
New Britain, CT 06053-2649

Ph: (860) 830-2122
Lattana Tina Kettavong, PHARMD
218 E Main St,
Clinton, CT 06413-2230

Ph: (860) 664-4641

Reviews and Comments


Pharmacist in Clinton, CT

Timothy Earle Mcdevitt, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 218 E Main St, Clinton, CT 06413
Phone: 860-664-4641    
Dr. Michael L'italien, PHARM.D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 218 E Main St, Clinton, CT 06413
Phone: 860-664-4641    Fax: 860-664-1632
Thomas L Dailey, PHARM.D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 44 Ben Merrill Rd, Clinton, CT 06413
Phone: 860-664-4005    
Ms. Debra L Updyke, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 266 E Main St, Shoprite Pharmacy, Clinton, CT 06413
Phone: 860-669-6619    Fax: 203-484-9530
Steven T Costanzo,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 266 E Main St, Clinton, CT 06413
Phone: 860-669-6619    
Ms. Janice Peggy Han, REGISTER PHARMACIST
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 7 Diamond Rd, Clinton, CT 06413
Phone: 203-932-5711    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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