Individual
LUCAS CARDOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
66 HIGH RIDGE RD, STAMFORD, CT 06905-3807
(203) 541-3972
Mailing address
66 HIGH RIDGE RD, STAMFORD, CT 06905-3807
(203) 541-3972
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012511
CT
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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