Individual
MRS. LORI CHUCKTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
37 NEW HAVEN RD, SEYMOUR, CT 06483-3460
(203) 888-0073
(203) 888-2932
Mailing address
37 NEW HAVEN RD, SEYMOUR, CT 06483-3460
(203) 888-0073
(203) 888-2932
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6397
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
413949
NABP
CT
Enumeration date
05/21/2014
Last updated
05/21/2014
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