Organization
ROBERT KEVORKIAN
Active
Other names
SIMSBURY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KEVORKIAN RPH PHD (OWNER)
(860) 658-4489
Entity
Organization
Contact information
Practice address
1418 HOPMEADOW ST, SIMSBURY, CT 06070-1410
(860) 658-4489
(860) 651-7663
Mailing address
1418 HOPMEADOW ST, SIMSBURY, CT 06070-1410
(860) 658-4489
(860) 651-7663
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY0000856
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004030763
—
CT
01
—
1998104
PK
—
Enumeration date
09/20/2006
Last updated
01/23/2017
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