Individual
MR. THOMAS EDWARD BUCKLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH, MPH
Contact information
Practice address
209 NEW RD, AVON, CT 06001-3163
(860) 693-9206
(860) 693-4052
Mailing address
209 NEW RD, AVON, CT 06001-3163
(860) 693-9206
(860) 693-4052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6003
CT
Other
Enumeration date
07/27/2005
Last updated
07/08/2007
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