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Individual

DR. IVAN L NAVARRO-REQUENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
81 NORTH ST, BRISTOL, CT 06010-4152
(860) 584-8998
Mailing address
38 ALEXANDER ST, BRISTOL, CT 06010-7501
(860) 940-7080

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015356
CT

Other

Enumeration date
02/18/2021
Last updated
02/18/2021
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