Individual
AMINA AYUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 BERLIN TPKE, NEWINGTON, CT 06111-4116
(860) 667-0461
(860) 667-2791
Mailing address
509 CYPRESS RD, NEWINGTON, CT 06111-5625
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0009194
CT
Other
Enumeration date
09/25/2011
Last updated
09/25/2011
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