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Individual

CLARISSA CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
148 EASTERN BLVD, 400, GLASTONBURY, CT 06033-4321
(860) 657-8014
Mailing address
56 NESBIT AVE, WEST HARTFORD, CT 06119-2009

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0013008
CT

Other

Enumeration date
09/15/2014
Last updated
09/15/2014
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