Individual
JOHN KENNETH NICOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1100 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4232
(860) 721-7224
Mailing address
25 GARDEN ST, MANCHESTER, CT 06040-5008
(860) 933-5771
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0013920
CT
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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