Individual
DUNG PHUONG LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 BERLIN RD, CROMWELL, CT 06416-1021
(860) 635-1507
(860) 635-2016
Mailing address
161 BERLIN RD, CROMWELL, CT 06416-1021
(860) 635-1507
(860) 635-2016
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8105
CT
Other
Enumeration date
11/11/2017
Last updated
11/11/2017
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