Individual
MICHAEL LETTMODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6 THOMPSON RD, EAST WINDSOR, CT 06088-9626
(860) 623-3000
(855) 547-5702
Mailing address
6 THOMPSON RD, EAST WINDSOR, CT 06088-9626
(860) 623-3000
(855) 547-5702
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT11375
CT
183500000X
Pharmacist
PH235778
MA
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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