Individual
JENNIFER MIKKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 BRIDGE ST, EAST WINDSOR, CT 06088-9679
(860) 623-3327
(860) 627-5301
Mailing address
74 BRIDGE ST, EAST WINDSOR, CT 06088-9679
(860) 623-3327
(860) 627-5301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0011462
CT
Other
Enumeration date
06/09/2011
Last updated
10/28/2016
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