Individual
SOPHIA JULIANA HANISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
47 LAKE AVENUE EXT, DANBURY, CT 06811-5259
(203) 778-7471
Mailing address
47 LAKE AVENUE EXT, DANBURY, CT 06811-5259
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015997
CT
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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