Individual
MCKENZIE DEJOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
525 KNOTTER DR, CHESHIRE, CT 06410-1100
(800) 895-8427
Mailing address
525 KNOTTER DR, CHESHIRE, CT 06410-1100
(800) 895-8427
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0009877
CT
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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