Individual
DIANE YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
980 FARMINGTON AVE, BERLIN, CT 06037-2219
(860) 828-6844
(860) 828-6738
Mailing address
74 CLOCK SHOP DR, BERLIN, CT 06037-3321
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7732
CT
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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