Individual
KELLY SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 ROBBINS ST, WATERBURY, CT 06708-2613
(203) 573-7360
Mailing address
64 ROBBINS ST, WATERBURY, CT 06708-2613
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0011355
CT
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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