Individual
DAVID MINER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 OAK ST, GLASTONBURY, CT 06033-2315
(860) 652-9208
Mailing address
96 WHITE ST, MANCHESTER, CT 06042-3128
(860) 922-6680
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0013868
CT
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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