Individual
SAMUEL SAFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3710 MAIN ST, BRIDGEPORT, CT 06606-3613
(203) 371-1280
Mailing address
3200 MADISON AVE UNIT 18, BRIDGEPORT, CT 06606-2045
(646) 418-1094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012087
CT
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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