Individual
GINA MARIE BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
55 PARK ST, NEW HAVEN, CT 06511-5474
(203) 293-3812
Mailing address
55 PARK ST, NEW HAVEN, CT 06511-5474
(203) 666-3609
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PCT.0011650
CT
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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