Individual
JALAJA ALISETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
28 NANEL DR, GLASTONBURY, CT 06033-2251
(860) 924-5417
Mailing address
28 NANEL DR, GLASTONBURY, CT 06033-2251
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0012534
CT
Other
Enumeration date
11/07/2014
Last updated
05/08/2017
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