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Individual

VILJAN KRISTOLLARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
141 MERIDEN RD, WATERBURY, CT 06705-1937
(203) 573-0378
Mailing address
72 RICHMOND AVE APT 3, WATERBURY, CT 06705-4402
(203) 510-2122

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0012050
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PCT.0012050
PHARMACIST LICENSE
CT
Enumeration date
08/08/2011
Last updated
08/08/2011
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