Individual
SANDRA N/A DANIELL-MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062
(860) 479-2667
(860) 747-5580
Mailing address
220 ADRIAN AVE, NEWINGTON, CT 06111-3501
(917) 757-6001
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
10664
CT
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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