Individual
MRS. KHUDEJA MIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(718) 666-6061
Mailing address
11 DEER PATH, ROCKY HILL, CT 06067-2817
(718) 666-6061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0014392
CT
183500000X
Pharmacist
Primary
054966I
NY
Other
Enumeration date
12/08/2010
Last updated
08/22/2019
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