Individual
LUIS MOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1289 FOXON RD, NORTH BRANFORD, CT 06471-1289
(203) 484-9681
Mailing address
PO BOX 152, EAST HAMPTON, CT 06424-0152
(860) 338-3757
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8008
CT
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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