Individual
MS. CHARNELLE RAPHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3465 BERLIN TPKE, NEWINGTON, CT 06111-5106
(860) 665-7813
Mailing address
45 TIFFANY DR, WINDSOR, CT 06095-2471
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0010678
CT
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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