Individual
LEENA VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
348 MAIN ST, MANCHESTER, CT 06040-4123
(860) 649-1025
(860) 649-0457
Mailing address
348 MAIN ST, MANCHESTER, CT 06040-4123
(860) 649-1025
(860) 649-0457
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013575
CT
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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