Individual
KIMBERLY HOLZTHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
976 FARMINGTON AVE, WEST HARTFORD, CT 06107-2102
(860) 521-5844
Mailing address
976 FARMINGTON AVE, WEST HARTFORD, CT 06107-2102
(860) 521-5844
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013385
CT
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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