Individual
HABIB THIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 HALLS RD, OLD LYME, CT 06371
(860) 434-8111
Mailing address
90 HALLS RD, OLD LYME, CT 06371
(860) 434-8111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015506
CT
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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