Individual
KELLY MARIE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPHT
Contact information
Practice address
30 COLD SPRINGS ROAD, ROCKYHILL, CT 06067
(860) 257-5872
Mailing address
227 STONEYCREST DRIVE, MIDDLETOWN, CT 06457
(860) 729-1904
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0003067
CT
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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