Individual
ILONA KHASIDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
323 CROMWELL AVE, ROCKY HILL, CT 06067-1801
(860) 563-9393
Mailing address
221 TRUMBULL ST APT 2607, HARTFORD, CT 06103-1526
(646) 267-6933
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015174
CT
183500000X
Pharmacist
056234
NY
Other
Enumeration date
09/13/2011
Last updated
07/24/2023
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