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MR. MARK ANTHONY D'AMBROSI RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1235456641

Individual Registrant:
MR. MARK ANTHONY D'AMBROSI RPH
Gender: M
Sole Proprietor

Location and contact information for practice:
1211 BOSTON POST RD  WESTBROOK, CT 06498-1949 US
Tel: 860-399-6899  Fax: 860-399-6136

Contact information for business:
18 MEADOWOOD LN  OLD SAYBROOK, CT 06475-1849 US
Tel: 860-395-1838  Fax: --

Registration Information:
NPI: 1235456641
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CTPCT.0006482

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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