Individual
JARED LAVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
22 DEPOT HILL RD, SOUTHBURY, CT 06488-2258
(203) 262-1831
Mailing address
22 DEPOT HILL RD, SOUTHBURY, CT 06488-2258
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9966
CT
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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