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Individual

COSTANTE JOHN MORASUTTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
905 S MAIN ST, CHESHIRE, CT 06410-3418
(203) 272-3255
(203) 699-9345
Mailing address
905 S MAIN ST, CHESHIRE, CT 06410-3418
(203) 272-3255
(203) 699-9345

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5342
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5342
PHARMACIST LICENSE NUMBER STATE OF CT
CT
Enumeration date
03/19/2018
Last updated
03/19/2018
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