Individual
ANNAS AL-KALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
839 FARMINGTON AVE, BRISTOL, CT 06010-3922
(860) 582-8167
Mailing address
67 EVERGREEN AVE APT B5, HARTFORD, CT 06105-3156
(203) 909-2627
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013607
CT
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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