Killingworth Family Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Killingworth, CT. Organization (NPI-2).
NPI number1386946366
StatusActive
Last updated in NPPESAug 18, 2015
Details
- NPI
- 1386946366
- Entity type
- Organization (NPI-2)
- Legal business name
- Killingworth Family Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Nov 24, 2010
- Last updated
- Aug 18, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PCY.0002196 | CT | Yes |
Other names
- Killingworth Family Pharmacy INC. (Doing Business As)
Practice location
183 Route 81 Ste 3Killingworth, CT 06419-1480
Phone 860-452-4275 · Fax 860-452-4278
Mailing address
183 Route 81 Ste 3Killingworth, CT 06419-1480
Phone 860-452-4275 · Fax 860-452-4278
Authorized official
Keith Lyke
Owner / Phcy Mgr
8604524275
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.