Individual
VIRGINIA LEE HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
255 W MAIN ST, AVON, CT 06001-4352
(860) 409-0409
(860) 409-0410
Mailing address
255 W MAIN ST, AVON, CT 06001-4352
(860) 409-0409
(860) 409-0410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8796
CT
Other
Enumeration date
11/12/2017
Last updated
11/12/2017
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