Individual
MRS. ELIZABETH ROSE BRAGAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, CDM
Contact information
Practice address
125 WESTBROOK RD, ESSEX, CT 06426-1521
(860) 767-2181
(860) 767-3495
Mailing address
19 ATTAWAN AVE, NIANTIC, CT 06357-3601
(860) 739-2364
(860) 767-3495
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT8144
CT
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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