Individual
KIP LEIGH SPRANKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
241 MAIN ST, TERRYVILLE, CT 06786-5910
(860) 585-5158
(860) 589-8699
Mailing address
1001 KEYSTONE DR APT B, JUPITER, FL 33458-8040
(860) 874-2313
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4136
CT
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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