Individual
DR. TIMOTHY MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
601 NORWICH NEW LONDON TPKE, UNCASVILLE, CT 06382-2104
(860) 848-7979
(860) 848-9974
Mailing address
601 NORWICH NEW LONDON TPKE, UNCASVILLE, CT 06382-2104
(860) 848-7979
(860) 848-9974
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10385
CT
Other
Enumeration date
04/10/2011
Last updated
04/10/2011
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