Individual
ABBEY STACKPOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
100 RETREAT AVE, HARTFORD, CT 06106-2528
(860) 595-1813
Mailing address
94 WARPAS RD, MADISON, CT 06443-1905
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015214
CT
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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