Individual
ANNA A DISANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
173 DANBURY RD, NEW MILFORD, CT 06776-4309
(860) 354-6313
Mailing address
173 DANBURY RD, NEW MILFORD, CT 06776-4309
(860) 354-6313
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011735
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001735
PHARMACY LICENSE
CT
Enumeration date
07/24/2011
Last updated
11/06/2020
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