Individual
STEPHEN MINICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
335 BROAD ST, MANCHESTER, CT 06040
(860) 983-3604
Mailing address
335 BROAD ST, MANCHESTER, CT 06040
(860) 983-3604
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5240
CT
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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