Individual
LAWRENCE NIVEN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
875 BRIDGEPORT AVE, SHELTON, CT 06484-4621
(203) 929-4597
(203) 929-5309
Mailing address
442 TOILSOME HILL RD, FAIRFIELD, CT 06825-1627
(203) 336-5759
(203) 929-5309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5377
CT
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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