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Individual

MR. DANIEL WILLIAM GALLAGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
820 WASHINGTON ST, MIDDLETOWN, CT 06457-2912
(860) 344-1551
(860) 344-1560
Mailing address
66 ACORN DR, WESTBROOK, CT 06498-1594
(860) 399-2372

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6704
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6704
RPH LICENSE NUMBER
CT
Enumeration date
02/11/2008
Last updated
02/11/2008
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