Individual
MR. DAVID ALAN CHUCKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
404 MAIN ST, ANSONIA, CT 06401-2307
(203) 734-3152
Mailing address
404 MAIN ST, ANSONIA, CT 06401-2307
(203) 734-3152
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5938
CT
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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