Gus Campos, PharmD
Pharmacist in Bristol, CT. Individual provider (NPI-1).
NPI number1639627003
StatusActive
Last updated in NPPESFeb 18, 2021
Details
- NPI
- 1639627003
- Entity type
- Individual (NPI-1)
- Name
- Gus Campos
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 14, 2016
- Certification date
- Feb 18, 2021
- Last updated
- Feb 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PCT.0012972 | CT | Yes |
Practice location
57 South StBristol, CT 06010-6524
Phone 860-583-1006
Mailing address
29 Homestead CirOld Lyme, CT 06371-2604
Phone 860-961-4036
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