Individual
THOMAS ANTHONY OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
649 W MAIN ST, WATERBURY, CT 06702-1082
(203) 757-6010
Mailing address
96 GODEK HILL RD, MERIDEN, CT 06451-5074
(203) 213-9301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014200
CT
Other
Enumeration date
07/26/2017
Last updated
07/27/2017
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