Individual
MRS. TAMMY L VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
295 MAIN ST, MANCHESTER, CT 06040
(860) 649-8747
Mailing address
295 MAIN ST, MANCHESTER, CT 06040
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0008303
CT
Other
Enumeration date
10/19/2011
Last updated
11/16/2011
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