Individual
RICKEY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1395 MIDDLETOWN AVE, NORTHFORD, CT 06472
(203) 484-0431
Mailing address
115 DEBBIE DR, MERIDEN, CT 06451-3694
(203) 634-1800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
032566-1
NY
183500000X
Pharmacist
Primary
6153
CT
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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