Individual
MR. KIM PATRICK DEVANEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
6 LUKE ST, PROSPECT, CT 06712-1427
(203) 758-4938
Mailing address
6 LUKE ST, PROSPECT, CT 06712-1427
(203) 758-4938
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5204
CT
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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