Individual
ROSA LAVOURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 MAPLE DR, OLD GREENWICH, CT 06870-1411
(203) 273-4054
Mailing address
20 MAPLE DR, OLD GREENWICH, CT 06870-1411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0007872
CT
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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