Individual
MARION KRISTA MIKKELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1657 ROUTE 12, GALES FERRY, CT 06335-1533
(860) 464-0288
Mailing address
161 CASE ST, NORWICH, CT 06360-1607
(860) 889-2487
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7664
CT
Other
Enumeration date
04/08/2013
Last updated
07/30/2025
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