Individual
SABOET DESTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
7 STONY HILL RD, BETHEL, CT 06801-1030
(203) 448-1030
Mailing address
7 STONY HILL RD, BETHEL, CT 06801-1030
(203) 448-1030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6820
CT
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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