Individual
TIMOTHY EDWARD SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
220 ROUTE 12, GROTON, CT 06340-3414
(860) 445-8807
Mailing address
151 GROVE AVE, GROTON, CT 06340-3527
(860) 445-8807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0010382
CT
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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