Individual
MR. CARL MICHAEL MANCINI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1 FAR MILL XING, SHELTON, CT 06484-6121
(203) 225-8614
Mailing address
83 TAFT PT, WATERBURY, CT 06708-5902
(203) 757-9556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9171
CT
Other
Enumeration date
06/18/2006
Last updated
07/08/2007
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