Individual
RAY DWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1030 WOLCOTT ST, WATERBURY, CT 06705-1316
(203) 754-3636
Mailing address
1030 WOLCOTT ST, WATERBURY, CT 06705-1316
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0012710
CT
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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