Individual
XHENSILA ALICKOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1279 W MAIN ST, WATERBURY, CT 06708-3101
(203) 755-5490
Mailing address
12 OAKCREST CIR, WATERBURY, CT 06708-1868
(203) 233-7437
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13452
CT
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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