Jordan Theriault
NPI #1295109734 in North Haven, Connecticut
Provider Information
- NPI Number
- 1295109734
- Entity Type
- Individual
- Name
- Jordan Theriault
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Nov 20, 2015
- Last Updated
- Nov 20, 2015
Practice Location
- Address
- 200 UNIVERSAL DR N
- City
- North Haven
- State
- Connecticut
- ZIP Code
- 06473-3156
- Phone
- (203) 859-3491
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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