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Individual

JACQUELINE E ANGLIN-DIXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
900 NORTHROP RD, WALLINGFORD, CT 06492-1997
(877) 274-7871
(877) 847-9904
Mailing address
19 BEECH TREE WAY, MILFORD, CT 06461-1877
(203) 713-6547

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PCT 0007787
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PCT.0007787
STATE OF CONNECTICUT
CT
Enumeration date
05/17/2012
Last updated
05/17/2012
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