Individual
MICHELLE GREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 POQUONNOCK RD, GROTON, CT 06340-4257
(860) 446-0144
Mailing address
915 POQUONNOCK RD, GROTON, CT 06340-4257
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014109
CT
Other
Enumeration date
09/20/2017
Last updated
03/17/2018
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