Individual
LARYSA KHRYSTENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 BERLIN RD, CROMWELL, CT 06416-2602
(860) 613-0499
Mailing address
72 BERLIN RD, CROMWELL, CT 06416-2602
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0012988
CT
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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