Individual
DANIEL BOULANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
7 DURANT AVE, BETHEL, CT 06801-1906
(203) 794-9500
(203) 794-1005
Mailing address
7 DURANT AVE, BETHEL, CT 06801-1906
(203) 794-9500
(203) 794-1005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0004944
CT
Other
Enumeration date
03/20/2016
Last updated
03/20/2016
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