Individual
DIEU LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73 WATERBURY RD, PROSPECT, CT 06712-1252
(203) 758-3316
Mailing address
73 WATERBURY RD, PROSPECT, CT 06712-1252
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0011751
CT
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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