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Individual

DANIEL E CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH., BCNP

Contact information

Practice address
628 HEBRON AVE BLDG 4, GLASTONBURY, CT 06033-5017
(860) 657-2520
(860) 633-9805
Mailing address
112 BELLE WOODS DR, GLASTONBURY, CT 06033-1670
(860) 633-1334

Taxonomy

Speciality
Code
Description
License number
State
1835N0905X
Nuclear Pharmacist
Primary
8162
CT

Other

Enumeration date
03/13/2007
Last updated
07/08/2007
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