Individual
NATALY DOMITRZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 KRISTIN LN, PLAINVILLE, CT 06062-2546
(860) 881-1024
Mailing address
14 KRISTIN LN, PLAINVILLE, CT 06062-2546
(860) 881-1024
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0016369
CT
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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