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Individual

DONALD DIANGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1391 MAIN STREET, WILLIMANTIC, CT 06226
(860) 456-7240
(860) 423-0219
Mailing address
1391 MAIN STREET, WILLIMANTIC, CT 06226
(860) 456-7240
(860) 423-0219

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0005492
CT

Other

Enumeration date
11/18/2016
Last updated
11/18/2016
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