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Individual

HARITHA MIRIYALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
20 E MAIN ST, WATERBURY, CT 06702-2302
(203) 753-1116
Mailing address
153 KYLES WAY, SHELTON, CT 06484-6615
(203) 313-7896

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0011262
CT

Other

Enumeration date
10/18/2011
Last updated
10/18/2011
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