Individual
ANTHONY O AJEGBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1156 ALBANY AVE, HARTFORD, CT 06112-2393
(860) 206-3890
(860) 906-1428
Mailing address
27 BEECHER LN, ROCKY HILL, CT 06067-3239
(860) 655-1988
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0010521
CT
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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