Individual
MR. DANIEL L. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
149 DEMING ST, MANCHESTER, CT 06042-1731
(860) 644-1210
(860) 644-1916
Mailing address
149 DEMING ST, MANCHESTER, CT 06042-1731
(860) 644-1210
(860) 644-1916
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0005972
CT
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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