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:
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Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225413925 NPPES
Connecticut MEDICAID 004270732

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