Individual
TYLER NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
698 BANK ST, NEW LONDON, CT 06320-5040
(860) 440-3566
Mailing address
698 BANK ST, NEW LONDON, CT 06320-5040
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0016081
CT
Other
Enumeration date
07/21/2022
Last updated
10/21/2022
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