Individual
RUSSELL CLIFFORD SAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3493
Mailing address
108 GIANTS NECK RD, NIANTIC, CT 06357-1601
(860) 691-0833
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4815
CT
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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