Individual
AYDIN DESTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 841-9215
Mailing address
24 CONCORD DR, WATERTOWN, CT 06795-3202
(203) 841-9215
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014816
CT
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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