Individual
GEORGE BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 BUCKLAND HILLS DR, MANCHESTER, CT 06042-8701
(860) 327-0083
Mailing address
4 COPPER RIDGE RD, SOUTH WINDSOR, CT 06074-4278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0009217
CT
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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