Sarah Provencher

NPI #1114514965 in Tolland, Connecticut

Provider Information

NPI Number: 1114514965
Entity Type: Individual
Name: Sarah Provencher
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Dec 28, 2020
Last Updated: Dec 28, 2020

Practice Location

Address: 33 FIELDSTONE CMNS
City: Tolland
State: Connecticut
ZIP Code: 06084-3418
Phone: (860) 872-0369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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