Individual
PHONG KIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2286 BERLIN TPKE, NEWINGTON, CT 06111-3202
(860) 343-5220
(860) 343-5230
Mailing address
2286 BERLIN TPKE, NEWINGTON, CT 06111-3202
(860) 343-5220
(860) 343-5230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13999
CT
Other
Enumeration date
03/25/2017
Last updated
01/17/2025
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