Individual
LISA LEE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, CDM
Contact information
Practice address
922 S MAIN ST, CHESHIRE, CT 06410-3419
(203) 271-0282
(203) 272-1459
Mailing address
250 WASHINGTON DR, SOUTHINGTON, CT 06489-4361
(860) 621-8684
(860) 621-8684
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8709
CT
Other
Enumeration date
05/06/2007
Last updated
07/08/2007
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