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JASON NAVALLIL

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1619564721

Individual Registrant:
 JASON  NAVALLIL 
Gender: M
Sole Proprietor

Location and contact information for practice:
3 N 2ND AVE  TAFTVILLE, CT 06380-1407 US
Tel: 860-383-2013  Fax: 860-383-2135

Contact information for business:
3 N 2ND AVE  TAFTVILLE, CT 06380-1407 US
Tel: 860-383-2013  Fax: 860-383-2135

Registration Information:
NPI: 1619564721
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CT0014666

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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