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Organization

KILLINGWORTH FAMILY PHARMACY INC

Active
Other names
Killingworth Family Pharmacy inc.
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH LYKE (OWNER / PHCY MGR)
(860) 452-4275
Entity
Organization

Contact information

Practice address
183 ROUTE 81 STE 3, KILLINGWORTH, CT 06419-1480
(860) 452-4275
(860) 452-4278
Mailing address
183 ROUTE 81 STE 3, KILLINGWORTH, CT 06419-1480
(860) 452-4275
(860) 452-4278

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PCY.0002196
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008025521
CT
01
2127689
PK
Enumeration date
11/24/2010
Last updated
08/18/2015
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