Individual
DERRICK AMENYEDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-1111
Mailing address
400 BLAKE ST APT 2101, NEW HAVEN, CT 06515-4411
(202) 384-9357
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015702
CT
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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