Individual
JILL A PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47-49 LAKE AVE. EXTENSION, DANBURY, CT 06810
(203) 778-7476
Mailing address
47-49 LAKE AVE. EXTENSION, DANBURY, CT 06810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
035760-1
NY
183500000X
Pharmacist
Primary
9782
CT
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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