Individual
MAHWISH MAKHDOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
464 REIDVILLE DRIVE, WATERBURY, CT 06705
(860) 329-7319
Mailing address
464 REIDVILLE DR, WATERBURY, CT 06705-2650
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13822
CT
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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