Individual
NICOLE STEPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
12306 MAPLE TREE LN, EAST LYME, CT 06333-1753
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PCT.0015614
CT
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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