Individual
CAROLYN WIESENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3252
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
9339
CT
Other
Enumeration date
06/01/2019
Last updated
06/01/2019
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