Catherine Ann Koivisto, RPH

NPI #1639480163 in Mashantucket, Connecticut

Provider Information

NPI Number: 1639480163
Entity Type: Individual
Name: Catherine Ann Koivisto, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jun 30, 2010
Last Updated: Jun 30, 2010

Practice Location

Address: 1 ANNIE GEORGE DR
City: Mashantucket
State: Connecticut
ZIP Code: 06338-3801
Phone: (888) 779-6362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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