Aysha Mansour Valid NPI
Individual provider · Pharmacist · New London, CT
- NPI
- 1396283008
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 0013702 (CT)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2017-02-02
- Last updated
- 2017-02-02
Practice location
698 Bank St
New London, CT 06320-5040
(860) 440-3566