Individual
ASHLEY V MUTHERSBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD. RPH
Contact information
Practice address
508 MONROE TPKE, MONROE, CT 06468-2309
(203) 268-6315
Mailing address
508 MONROE TPKE, MONROE, CT 06468-2309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0014269
CT
183500000X
Pharmacist
Primary
PCT.0014269
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014269
PHARMACIST
CT
Enumeration date
01/30/2018
Last updated
01/30/2018
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