Individual
CHRIS MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 HAMMERHEAD PL, CROMWELL, CT 06416-1805
(860) 613-2324
Mailing address
162 WOODROW ST, WEST HARTFORD, CT 06107-3061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015022
CT
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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