Individual
DR. KEANDRA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1395 MIDDLETOWN AVE, NORTHFORD, CT 06472-1395
(203) 484-0431
Mailing address
31 JAMES DREW LN, BRISTOL, CT 06010-7862
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014606
CT
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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