Individual
AUDI SALSABILA PUTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0002
(860) 679-2000
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0017094
CT
Other
Enumeration date
09/25/2025
Last updated
11/24/2025
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