Individual
THOMAS FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 CEDAR HL, WINDHAM, CT 06280-1418
(203) 314-7768
Mailing address
24 CEDAR HL, WINDHAM, CT 06280-1418
(860) 423-6403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5497
CT
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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