Individual
MS. PENNI ANNE CHEATLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
160 INDIANA ST, BRISTOL, CT 06010-9138
(860) 585-5478
Mailing address
160 INDIANA ST, BRISTOL, CT 06010-9138
(860) 585-5478
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8746
CT
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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