Individual
DR. LENA DEVIETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3252
Mailing address
72 BUELL ST, NORTH HAVEN, CT 06473-4311
(443) 478-0211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014891
CT
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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