Individual
MR. JOSEPH D WAMBOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
875 ENFIELD ST, ENFIELD, CT 06082-3617
(860) 741-3014
(860) 741-5434
Mailing address
875 ENFIELD ST, ENFIELD, CT 06082-3617
(860) 741-3014
(860) 741-5434
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0012925
CT
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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