Individual
MS. ELLEN SUE MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
79 NATCHAUG DR, GLASTONBURY, CT 06033-1913
(860) 643-9663
Mailing address
79 NATCHAUG DR, GLASTONBURY, CT 06033-1913
(860) 643-9663
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
4537
NM
183500000X
Pharmacist
Primary
8506
CT
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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