Provider Demographics
NPI:1174052385
Name:MESSIER, KATHERINE CONDON (RPH)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:CONDON
Last Name:MESSIER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 NEW HARTFORD RD
Mailing Address - Street 2:
Mailing Address - City:WINSTED
Mailing Address - State:CT
Mailing Address - Zip Code:06098-3373
Mailing Address - Country:US
Mailing Address - Phone:860-738-2707
Mailing Address - Fax:844-411-6439
Practice Address - Street 1:200 NEW HARTFORD RD
Practice Address - Street 2:
Practice Address - City:WINSTED
Practice Address - State:CT
Practice Address - Zip Code:06098-3373
Practice Address - Country:US
Practice Address - Phone:860-738-2707
Practice Address - Fax:844-411-6439
Is Sole Proprietor?:No
Enumeration Date:2017-06-09
Last Update Date:2017-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5295183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist