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Individual

DR. CHARLES JOSEPH CYGANOSKI JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
20 PROSPECT ST, MOOSUP, CT 06354-1425
(860) 564-5871
(860) 564-0209
Mailing address
20 PROSPECT ST, MOOSUP, CT 06354-1425
(860) 564-5871
(860) 564-0209

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0009423
CT
183500000X
Pharmacist
PS22633
FL
183500000X
Pharmacist
RPH02285
RI

Other

Enumeration date
08/08/2011
Last updated
08/08/2011
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