Individual
BRAD BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
846 NORTH COLONY RD, WALINGFORD, CT 06492
(203) 626-7765
(203) 626-7765
Mailing address
846 N COLONY RD, WALLINGFORD, CT 06492-2410
(203) 626-7765
(203) 626-7767
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0006005
CT
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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