Individual
MS. KATELYN MAE RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
542 PROVIDENCE RD, BROOKLYN, CT 06234-3413
(860) 779-0523
Mailing address
542 PROVIDENCE RD, BROOKLYN, CT 06234-3413
(860) 779-0523
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0013093
CT
183500000X
Pharmacist
PH235839
MA
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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