Individual
LISA VICTORIA TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 WHITNEY AVE, HAMDEN, CT 06518-3019
(203) 288-5217
Mailing address
35 CLIFFSIDE DR, WALLINGFORD, CT 06492-1923
(203) 294-0297
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0008341
CT
Other
Enumeration date
10/01/2011
Last updated
10/01/2011
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