Individual
JENNIFER GABRIELA CABRAL MCMICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 BANK ST, NEW LONDON, CT 06320-3503
(860) 443-5359
(860) 440-3336
Mailing address
817 BANK ST, NEW LONDON, CT 06320-3503
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0016569
CT
183500000X
Pharmacist
PH240627
MA
183500000X
Pharmacist
RPH06401
RI
183700000X
Pharmacy Technician
PI165412
MA
Other
Enumeration date
12/01/2020
Last updated
05/06/2025
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