Individual
MISS JAGODA ANNA MISNIAKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
27 GILBERT RD, SOUTHAMPTON, MA 01073-9580
(413) 537-1143
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH235912
MA
Other
Enumeration date
09/14/2015
Last updated
09/01/2016
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