Individual
KATHRYN STASIA LEATHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
219 BROAD ST, WINDSOR, CT 06095-2904
(860) 298-5925
Mailing address
219 BROAD ST, WINDSOR, CT 06095-2904
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014567
CT
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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