Individual
ANTONIA VALASSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 NEW CANAAN AVE, NORWALK, CT 06850-2643
(203) 846-2398
Mailing address
120 NEW CANAAN AVE, NORWALK, CT 06850-2643
(203) 846-2398
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
050786
NY
183500000X
Pharmacist
Primary
PCT0011279
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01481727
—
NY
Enumeration date
11/15/2007
Last updated
08/29/2013
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