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MR. ELLIOTT RALPH COLASANTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
340 N MAIN ST, SOUTHINGTON, CT 06489-2529
(860) 628-3972
(860) 621-7862
Mailing address
141 BRIDLEPATH DR, SOUTHINGTON, CT 06489-4044
(860) 620-0557

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5080
CT

Other

Enumeration date
11/07/2006
Last updated
07/08/2007
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