Individual
DR. IMAN NIA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
484 WINDSOR AVE, WINDSOR, CT 06095-4401
(860) 947-5078
Mailing address
PO BOX 173, HARTFORD, CT 06141-0173
(661) 378-3883
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015744
CT
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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