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Individual

MR. KELV IN W COLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
960 NORTH AVE, WALGREENS, BRIDGEPORT, CT 06606
(203) 334-6978
Mailing address
31 ROUTE 80, KILLINGWORTH, CT 06419-1429
(860) 663-3325

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4786
CT

Other

Enumeration date
10/15/2011
Last updated
10/15/2011
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