Individual
BENJAMIN TIMAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
500 QUEEN ST, SOUTHINGTON, CT 06489-1801
(860) 276-8511
Mailing address
500 QUEEN ST, SOUTHINGTON, CT 06489-1801
(860) 276-8511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0010816
CT
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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