Individual
NICHOLAS CORREIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1044 BOULEVARD, WEST HARTFORD, CT 06119-1801
(860) 236-9348
Mailing address
94 BRIDLE PATH DR, SOUTHINGTON, CT 06489-4046
(617) 645-4339
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9649
CT
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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