Individual
ISRAA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCT
Contact information
Practice address
2639 MAIN ST, GLASTONBURY, CT 06033-2023
(860) 933-5544
Mailing address
53 WELLS AVE, EAST HARTFORD, CT 06108-2270
(860) 933-5544
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0016565
CT
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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