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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 codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPCY.0002196CTYes

Other names

  • Killingworth Family Pharmacy INC. (Doing Business As)

Practice location

183 Route 81 Ste 3
Killingworth, CT 06419-1480

Phone 860-452-4275 · Fax 860-452-4278

Mailing address

183 Route 81 Ste 3
Killingworth, CT 06419-1480

Phone 860-452-4275 · Fax 860-452-4278

Authorized official

Keith Lyke
Owner / Phcy Mgr
8604524275

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