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Individual

MITCHELL NAMIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D

Contact information

Practice address
485 BROAD ST, MERIDEN, CT 06450
(203) 238-1261
Mailing address
485 BROAD ST, MERIDEN, CT 06450-5801
(203) 238-1261

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0013777
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PCT.0013777
CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION
CT
Enumeration date
07/13/2016
Last updated
06/21/2018
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