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Individual

LENINA THUMMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
26 NANEL DR APT C, GLASTONBURY, CT 06033-2250
(646) 912-1223
Mailing address
26 NANEL DR APT C, GLASTONBURY, CT 06033-2250
(646) 912-1223

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
060436
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060436
NY STATE BOARD OF PHARMACY
NY
Enumeration date
06/16/2016
Last updated
06/16/2016
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