Individual
NICHOLAS TYLER MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1697 WHITNEY AVE, HAMDEN, CT 06517-1936
(203) 288-5217
Mailing address
1697 WHITNEY AVE, HAMDEN, CT 06517-1936
(203) 230-0610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015378
CT
Other
Enumeration date
11/11/2020
Last updated
12/20/2022
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