Individual
CATHERINE ANN KOIVISTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1 ANNIE GEORGE DR, MASHANTUCKET, CT 06338-3801
(888) 779-6362
(800) 779-6329
Mailing address
9 FOX HILL RD, POMFRET CENTER, CT 06259-1134
(860) 928-6034
(860) 963-7951
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
27765
MA
183500000X
Pharmacist
Primary
CT9619
CT
183500000X
Pharmacist
RI3994
RI
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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