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
Update your record
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