Individual
MATTHEW ARELLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
891 N COLONY RD, WALLINGFORD, CT 06492-2437
(203) 294-8890
Mailing address
122 GRANDVIEW AVE, WALLINGFORD, CT 06492-5109
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015315
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148889985
DRIVERS LICENSE
CT
Enumeration date
03/28/2021
Last updated
03/28/2021
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