Individual
LAUREN PICONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 QUEEN ST, SOUTHINGTON, CT 06489-1801
(860) 621-5369
(860) 621-8657
Mailing address
410 QUEEN ST, SOUTHINGTON, CT 06489-1801
(860) 621-5369
(860) 621-8657
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0011721
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004242020
—
CT
Enumeration date
05/16/2016
Last updated
05/16/2016
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