Individual
KATHRYN B WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1093 N MAIN ST, DAYVILLE, CT 06241-2124
(860) 774-0490
(860) 774-0483
Mailing address
1093 N MAIN ST, DAYVILLE, CT 06241-2124
(860) 774-0490
(860) 774-0483
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0009912
CT
183500000X
Pharmacist
22063
MA
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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