Individual
MR. EDWARD BRAYE ENTSIWAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
48 BENTON ST, MANCHESTER, CT 06040-4304
(860) 796-2004
Mailing address
48 BENTON ST, MANCHESTER, CT 06040-4304
(860) 796-2004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24379
MA
183500000X
Pharmacist
9402
CT
Other
Enumeration date
05/01/2016
Last updated
05/01/2016
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