Individual
MICHAEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
341 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3148
(860) 243-8351
Mailing address
341 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3148
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0013691
CT
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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