Individual
GWENDOLYN MARIE LECLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
625 SCHOOL ST, PUTNAM, CT 06260-2424
(860) 928-4199
(860) 928-7531
Mailing address
625 SCHOOL ST, PUTNAM, CT 06260-2424
(860) 928-4199
(860) 928-7531
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
PTN0013330
CT
183700000X
Pharmacy Technician
Primary
Y8Z6Z4Z5
CT
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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