Individual
GINA SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PCT.0014510
CT
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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