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Individual

THOMAS EDWARD BURKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
180 RIVER RD, LISBON, CT 06351-3249
(860) 376-0132
(860) 376-0413
Mailing address
180 RIVER RD, LISBON, CT 06351-3249
(860) 376-0132
(860) 376-0413

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4688
CT

Other

Enumeration date
11/11/2017
Last updated
11/11/2017
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