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Individual

MARY ELSENBOSS TYRRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS PHARM, PD

Contact information

Practice address
2 MAIN ST N, WOODBURY, CT 06798-2950
(203) 263-2595
(203) 263-7244
Mailing address
PO BOX 363, WOODBURY, CT 06798-0363
(203) 263-2595
(203) 263-7244

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0005949
CT

Other

Enumeration date
12/28/2020
Last updated
12/28/2020
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