Individual
MONICABEN MISTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10 PITKIN RD, VERNON, CT 06066-4718
(860) 871-1053
Mailing address
185 MOUNTAIN ST, ELLINGTON, CT 06029-4311
(229) 256-8464
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT0014163
CT
Other
Enumeration date
06/08/2018
Last updated
11/17/2020
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