Individual
DAVID WOGELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 667-6750
Mailing address
14 TUNXIS ST, FARMINGTON, CT 06032-2814
(860) 667-6750
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8313
CT
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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