Individual
MS. LISA RAKIC H
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
922 S MAIN ST, CHESHIRE, CT 06410-3419
(203) 271-0282
(203) 272-1459
Mailing address
922 S MAIN ST, CHESHIRE, CT 06410-3419
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5553
CT
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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