Individual
MATTHEW BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D, R.PH
Contact information
Practice address
605 N COLONY RD, WALLINGFORD, CT 06492-3109
(203) 265-3600
Mailing address
605 N COLONY RD, WALLINGFORD, CT 06492-3109
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0013849
CT
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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