Individual
MR. WILLARD RUDIN COLBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
188 UNION ST, VERNON, CT 06066-2429
(860) 896-1485
Mailing address
36 RIDGE RD, STORRS MANSFIELD, CT 06268-2050
(860) 429-1654
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5151
CT
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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