Individual
MAHOMI GENDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
289 HUBBARD ST, GLASTONBURY, CT 06033-3061
(860) 402-1980
Mailing address
289 HUBBARD ST, GLASTONBURY, CT 06033-3061
(860) 402-1980
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
CT6274
CT
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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