EDWARD BRAYE ENTSIWAH

MANCHESTER, CT
NPI1891140513
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MA  24379)
Additional Taxonomies183500000X Pharmacist
(Licence: CT  9402)
Enumeration Date2016-05-01
Last Update Date2016-05-01
Business Address
Mr. EDWARD BRAYE ENTSIWAH RPh
48 BENTON ST
MANCHESTER, CT 06040-4304
Phone number: 860-796-2004
Mailing Address
Mr. EDWARD BRAYE ENTSIWAH RPh
48 BENTON ST
MANCHESTER, CT 06040-4304
Phone number: 860-796-2004
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