Individual
DR. KEVIN EMBREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
698 BANK ST, NEW LONDON, CT 06320-5040
(860) 440-3566
(860) 440-2714
Mailing address
18 EDGE HILL RD, NIANTIC, CT 06357-2006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0011743
CT
Other
Enumeration date
10/22/2011
Last updated
10/22/2011
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