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Individual
COSTANTE JOHN MORASUTTI
Active
Individual
COSTANTE JOHN MORASUTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5342
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5342
PHARMACIST LICENSE NUMBER STATE OF CT
CT
Enumeration date
03/19/2018
Last updated
03/19/2018
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