Individual
JONATHAN LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 MAIN ST, DANBURY, CT 06810-7802
(203) 791-0405
Mailing address
6 WOODCHUCK LN, WILTON, CT 06897-3427
(646) 789-2558
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013799
CT
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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