Individual
DR. KELLY S BRISTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
844 N COLONY RD, WALLINGFORD, CT 06492-2410
(203) 269-6633
Mailing address
844 N COLONY RD, WALLINGFORD, CT 06492-2410
(203) 269-6633
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
0010933
CT
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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