Individual
EILEEN MYDOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH, MBA
Contact information
Practice address
55 PARK ST, NEW HAVEN, CT 06511-5474
(203) 688-4872
Mailing address
55 PARK ST, NEW HAVEN, CT 06511-5474
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PCT.0006398
CT
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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