Individual
THOMAS ADAM GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
24 TERRACE DR, AVON, CT 06001-2314
(860) 944-0516
Mailing address
24 TERRACE DR, AVON, CT 06001-2314
(860) 944-0516
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0007778
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCT.0007778
RPH LICENSE
CT
Enumeration date
04/22/2020
Last updated
04/22/2020
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