Lucic, Taylor C
Lucic, Taylor C is an individual health care provider with primary practice located at 675 Poquonock Ave , Windsor CT 06095-2259. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Lucic, Taylor C can be contacted via phone (860) 687-1910.Contact Information
Primary practice address
675 Poquonock Ave
Windsor CT 06095-2259
Phone: (860) 687-1910
Fax: (860) 687-9838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 12323 | Connecticut |
Profile Details
| NPI number | 1225413925 |
|---|---|
| LBN Legal business name | Lucic, Taylor C |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2015 |
| Last updated | Jul 23rd, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225413925 | NPPES |
| Connecticut | MEDICAID | 004270732 |
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