Individual
MR. GARY WAYNE SELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH,CDE
Contact information
Practice address
333 MANLEY HEIGHTS RD, ORANGE, CT 06477-3028
(203) 795-4862
(203) 795-1924
Mailing address
333 MANLEY HEIGHTS RD, ORANGE, CT 06477-3028
(203) 795-4862
(203) 795-1924
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
07614
CT
Other
Enumeration date
09/29/2005
Last updated
07/08/2007
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