Individual
DR. BRIANNA BA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
441 LONG HILL RD, GROTON, CT 06340-4149
(860) 405-1919
(860) 405-1926
Mailing address
441 LONG HILL RD, GROTON, CT 06340-4149
(860) 405-1919
(860) 405-1926
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0012457
CT
183500000X
Pharmacist
PHA.0017221
CO
183500000X
Pharmacist
PR5467
ME
Other
Enumeration date
02/18/2017
Last updated
02/18/2017
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