Individual
ZACHARY DAVID KOGUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
280 SHENNECOSSETT ROAD, GROTON, CT 06340
(401) 602-9846
Mailing address
60 MARGIN ST UNIT 102, WESTERLY, RI 02891-2133
(502) 321-5327
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
020685
KY
183500000X
Pharmacist
PCT.0015079
CT
183500000X
Pharmacist
Primary
RPH06086
RI
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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