Individual
MICHELLE LEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
668 FARMINGTON AVE, WEST HARTFORD, CT 06119-1810
(860) 523-5849
Mailing address
130 VERA ST, WEST HARTFORD, CT 06119-1953
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014963
CT
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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