Individual
JESSICA CARLA SPANGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
399 W MAIN ST, NORWICH, CT 06360-5414
(860) 885-0389
Mailing address
1 JULIAN TER, NORWICH, CT 06360-2705
(856) 430-8494
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015203
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCT.0015203
PHARMACIST LICENSE
CT
Enumeration date
08/14/2020
Last updated
08/14/2020
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