Individual
MR. KENNETH J NOSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
141B STORRS RD, MANSFIELD CTR, CT 06250-1638
(860) 456-1358
Mailing address
PO BOX 515, MANSFIELD CTR, CT 06250-0515
(860) 456-1358
(860) 456-1384
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5392
CT
Other
Enumeration date
10/08/2017
Last updated
10/08/2017
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