Individual
TYLER POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 AMITY RD, NEW HAVEN, CT 06515-1405
(203) 389-8863
Mailing address
112 AMITY RD, NEW HAVEN, CT 06515-1405
(203) 389-8863
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014957
CT
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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