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Individual

JAKE SAMLALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
22 WINDSOR AVE, VERNON ROCKVILLE, CT 06066-2439
(860) 870-6765
Mailing address
29 CAMDEN ST, SOUTH HADLEY, MA 01075-3504
(413) 949-2962

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015346
CT

Other

Enumeration date
01/04/2023
Last updated
01/04/2023
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