Individual
KRISTIAN ODIBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 FRONT ST APT 420, HARTFORD, CT 06103-2850
(202) 894-1193
Mailing address
20 FRONT ST APT 420, HARTFORD, CT 06103-2850
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015072
CT
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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