Individual
ANTONIA GRACE ALQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
326 MAIN ST, SOUTHINGTON, CT 06489-2508
(860) 621-1996
Mailing address
239 AUBURN RD, WEST HARTFORD, CT 06119-1179
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015558
CT
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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