Individual
AMANDA MCSHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
55 WESTPORT AVE, NORWALK, CT 06851-3931
(203) 845-0457
Mailing address
55 WESTPORT AVE, NORWALK, CT 06851-3931
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012413
CT
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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