Individual
DR. RISA WAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1049 FARMINGTON AVE APT 2, WEST HARTFORD, CT 06107-2110
(401) 297-5014
Mailing address
1049 FARMINGTON AVE APT 2, WEST HARTFORD, CT 06107-2110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0016071
CT
Other
Enumeration date
03/20/2023
Last updated
03/30/2023
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