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Individual

SAM OL ITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
270 FARMINGTON AVE, FARMINGTON, CT 06032-1909
(860) 679-2120
Mailing address
270 FARMINGTON AVE STE 108, FARMINGTON, CT 06032-1965
(860) 679-8076

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8385
CT

Other

Enumeration date
09/09/2019
Last updated
09/09/2019
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