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Individual

KENNETH J FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
12 CEDAR LN, UNIONVILLE, CT 06085-1154
(860) 550-5831
Mailing address
12 CEDAR LN, UNIONVILLE, CT 06085-1154
(860) 550-5831

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0008096
CT
1835N0905X
Nuclear Pharmacist
PCT.0008096
CT

Other

Enumeration date
12/14/2005
Last updated
03/08/2011
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