Individual
MR. WAY H QIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 GOLD STAR HWY, GROTON, CT 06340-3442
(860) 449-6902
Mailing address
150 GOLD STAR HWY, GROTON, CT 06340-3442
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
047094
NY
183500000X
Pharmacist
Primary
9728
CT
Other
Enumeration date
09/12/2015
Last updated
09/12/2015
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