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Elijah Andrews

Pharmacist in New London, CT. Individual provider (NPI-1).

NPI number1740818608
StatusActive
Last updated in NPPESFeb 9, 2024

Details

NPI
1740818608
Entity type
Individual (NPI-1)
Name
Elijah Andrews
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 27, 2020
Certification date
Feb 9, 2024
Last updated
Feb 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist0014911CTYes

Practice location

21 Montauk Ave
New London, CT 06320-4906

Phone 860-447-9145

Mailing address

63 Carriage Hill Dr
Niantic, CT 06357-1340

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