Individual
ASHLEY ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 MAIN ST, DEEP RIVER, CT 06417-2039
(860) 526-8052
Mailing address
180 MAIN ST, DEEP RIVER, CT 06417-2039
(860) 526-8052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0013696
CT
Other
Enumeration date
09/21/2019
Last updated
09/21/2019
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