Individual
JERRY EDOUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
930 N COLONY RD, WALLINGFORD, CT 06492-2471
(203) 265-6972
Mailing address
399 MAIN AVE APT 807, NORWALK, CT 06851-1574
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015701
CT
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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