Individual
DR. STEPHANIE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 HIGHLAND AVE, CHESHIRE, CT 06410-2522
(203) 272-3697
Mailing address
275 HIGHLAND AVE, CHESHIRE, CT 06410-2522
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014227
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014227
PHARMACIST LICENSE
CT
Enumeration date
06/19/2018
Last updated
06/19/2018
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