Individual
GRACE KELLY SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 ANDREW AVE, NAUGATUCK, CT 06770-4356
(518) 588-4652
Mailing address
151 ANDREW AVE APT 84, NAUGATUCK, CT 06770-4331
(518) 588-4652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0134768
VT
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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