Individual
DANIEL M NGHIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
620 MAIN ST, WATERTOWN, CT 06795-2614
(860) 274-7559
Mailing address
11 DAVENTRY LN, WOLCOTT, CT 06716-2347
(203) 879-6746
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7647
CT
Other
Enumeration date
05/29/2011
Last updated
05/30/2011
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