Individual
SALLY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1606 BARNUM AVE, STRATFORD, CT 06614-5301
(203) 377-2851
Mailing address
7222 AVALON GATES, TRUMBULL, CT 06611-5825
(917) 292-3861
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0013517
CT
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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