Individual
THOMAS MICHAEL MALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1173 TUCKER RD, CHESHIRE, CT 06410-1932
(203) 272-9298
Mailing address
359 MAIN ST, SOUTHINGTON, CT 06489-4538
(860) 621-3729
(860) 621-6408
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0004543
CT
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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