JENNIFER GABRIELA CABRAL MCMICKEN
Individual Provider (NPI-1)
Active
Pharmacist
Provider Information
- NPI Number
1700481413- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 817 BANK ST, NEW LONDON, CT, 063203503
- Phone
- (860) 443-5359
- Fax
- (860) 440-3336
Specialties & Taxonomies
Pharmacist
License: RI #RPH06401
Pharmacist
License: MA #PH240627
Pharmacy Technician
License: MA #PI165412
Pharmacist
Primary License: CT #0016569
All Addresses
MAILING
817 BANK ST
NEW LONDON, CT, 063203503