Individual
MR. IAN THOMAS MCCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
150 S MAIN ST, WEST HARTFORD, CT 06107-3432
(860) 561-6164
(860) 561-8546
Mailing address
150 S MAIN ST, WEST HARTFORD, CT 06107-3432
(860) 561-6164
(860) 561-8546
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011990
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011990
CT DEPARTMET OF CONSUMER PROTECTION
CT
Enumeration date
05/16/2017
Last updated
07/21/2022
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