Most Relevant Information
Provider Data
| NPI Number: | 1003392507 |
| Provider Name: | EDEN LI PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 14388 |
Most Important Dates
| Enumeration Date: | 07/17/2018 |
| Last Updated: | 12/03/2020 |
Provider Practice Location
119 S MAIN ST
COLCHESTER
CT
064151456
Practice Location Phone/Fax
| Phone: | 8607410751 |
| Fax: |
Provider Mailing Location
119 S MAIN ST
COLCHESTER
CT
064151456
Provider Mailing Phone/Fax
| Phone: | 8605370711 |
| Fax: |