Individual
LEON CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1168 WHALLEY AVE, NEW HAVEN, CT 06515-1705
(203) 389-4714
(203) 387-4476
Mailing address
1168 WHALLEY AVE, NEW HAVEN, CT 06515-1705
(203) 389-4714
(203) 387-4476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT0005152
CT
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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