Individual
VIVIAN BANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4292
(203) 576-5713
(855) 673-5103
Mailing address
14 INWOOD LN, FARMINGTON, CT 06032-3447
(860) 839-8357
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015654
CT
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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