Individual
DR. KRISTEN LARA MAGNUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
474 BOSTON POST RD, NORTH WINDHAM, CT 06256-1052
(860) 456-2126
Mailing address
154 HOXIE RD, LEBANON, CT 06249-1815
(860) 204-2454
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011769
CT
Other
Enumeration date
12/17/2017
Last updated
12/17/2017
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