Individual
MR. STAN PETER LISEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4 KERSKI DR, OXFORD, CT 06478-1170
(203) 881-0758
Mailing address
4 KERSKI DR, OXFORD, CT 06478-1170
(203) 881-0758
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0617
CT
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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