Individual
BAYAN MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOCTOR OF PHARMACY
Contact information
Practice address
1 HAWLEY LN, STRATFORD, CT 06614-1200
(203) 383-7735
Mailing address
104 SANDY HOLLOW RD., MYSTIC, CT 06355
(860) 532-9964
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015287
CT
Other
Enumeration date
11/26/2020
Last updated
11/26/2020
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