Individual
MR. GARY EDWARD OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
525 KNOTTER DR, CHESHIRE, CT 06410-1100
(800) 895-8427
Mailing address
3 OLD COLONY CIR, WOLCOTT, CT 06716-2867
(203) 879-8758
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8656
CT
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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