Individual
JUSTIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 BUCKLAND RD, SOUTH WINDSOR, CT 06074-3746
(860) 644-4241
(860) 644-6883
Mailing address
1475 MAIN ST, WILLIMANTIC, CT 06226-1914
(860) 423-6304
(860) 423-5873
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12693
CT
Other
Enumeration date
01/25/2017
Last updated
12/24/2022
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