Individual
SHELLY ROSE EVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
65 ALYCE TER, WATERBURY, CT 06708-1566
(203) 808-0831
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0135423
VT
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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