Individual
MARIAM AWAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
162 WASHINGTON AVE, NORTH HAVEN, CT 06473-1711
(203) 239-4071
Mailing address
162 WASHINGTON AVE, NORTH HAVEN, CT 06473-1711
(203) 239-4071
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013524
CT
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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