NPI 1073803078

Nathaniel Gilman, PHARMD

Practitioner Pharmacist Waterford, CT

Practice location

Address: 75 Boston Post Rd, Waterford, CT 06385-2423
Phone: (860) 437-8880
Fax: (860) 440-3417
Mailing address: 94 Elderkin Ave, Groton, CT 06340-4912

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PCT.0011080 (CT)

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Registry record

NPI: 1073803078
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2011
Record last updated: 11 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.