Individual
MYLAKA CLINEDINST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 BRIDGE ST, EAST WINDSOR, CT 06088-9679
(860) 623-3327
Mailing address
15 GORDON LN, ENFIELD, CT 06082-4707
(860) 709-7372
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0012712
CT
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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