Individual
HATALI AMRUT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 MAIN ST S, SOUTHBURY, CT 06488-4250
(203) 262-8000
Mailing address
23 MEADOW BROOK RD, BROOKFIELD, CT 06804-1919
(203) 313-6157
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0013067
CT
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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