Individual
AINSLEY MOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
649 W MAIN ST, WATERBURY, CT 06702-1082
(203) 757-6010
Mailing address
2405 WHITNEY AVE APT 309, HAMDEN, CT 06518-3217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0012806
CT
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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