Individual
JACINTA JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
399 W MAIN ST, NORWICH, CT 06360-5414
(860) 885-0389
Mailing address
PO BOX 281, HANOVER, CT 06350-0281
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0008580
CT
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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