Individual
LAURA STANTON MUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
359 MAIN ST, SOUTHINGTON, CT 06489-4538
(860) 621-3729
Mailing address
5231 TOWN PL, MIDDLETOWN, CT 06457-1759
(860) 877-3874
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0012422
CT
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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