Individual
PAUL BUKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 BRIDGEPORT AVE STE 101, SHELTON, CT 06484-4734
(203) 225-0296
Mailing address
700 BRIDGEPORT AVE SUITE 101, SHELTON, CT 06484
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0010090
CT
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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