Individual
GEORGE LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 MAHEU ST, BRISTOL, CT 06010-3049
(860) 302-5484
Mailing address
90 MAHEU ST, BRISTOL, CT 06010-3049
(860) 302-5484
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT12337
CT
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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