Individual
DAVID GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
609 N MAIN ST, SOUTHINGTON, CT 06489-2051
(860) 628-3972
Mailing address
609 N MAIN ST, SOUTHINGTON, CT 06489-2051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014174
CT
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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