Individual
ELIZABETH JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
163 MOUNTAIN RD, SUFFIELD, CT 06078-2005
(860) 668-5115
(860) 668-0856
Mailing address
163 MOUNTAIN RD, SUFFIELD, CT 06078-2005
(860) 668-5115
(860) 668-0856
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0010125
CT
Other
Enumeration date
09/18/2016
Last updated
09/18/2016
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