Individual
KATHLEEN D WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 679-6347
Mailing address
53 ROYAL OAK DR, DURHAM, CT 06422-1412
(860) 349-9587
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5682
CT
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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