Individual
TAYLOR C LUCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
675 POQUONOCK AVE, WINDSOR, CT 06095-2259
(860) 687-1910
(860) 687-9838
Mailing address
54 BUFF CAP RD, ELLINGTON, CT 06029-3100
(860) 687-1910
(860) 687-9838
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12323
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004270732
—
CT
Enumeration date
07/23/2015
Last updated
07/23/2015
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