Individual
JASON JACK CLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
32 CHICAGO AVE, GROTON, CT 06340-4962
(888) 578-3457
(860) 405-0760
Mailing address
32 CHICAGO AVE, GROTON, CT 06340-4962
(888) 578-3457
(860) 405-0760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0013512
CT
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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