Individual
KATHY M KALISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
180 MAIN ST, DEEP RIVER, CT 06417-2039
(860) 526-8052
Mailing address
180 MAIN ST, DEEP RIVER, CT 06417-2039
(860) 526-8052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009197
CT
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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