MRS. Jacqueline Marie Roberts, RPH, PHARMD

NPI #1386962405 in South Glastonbury, Connecticut

Provider Information

NPI Number: 1386962405
Entity Type: Individual
Name: MRS. Jacqueline Marie Roberts, RPH, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH, PHARMD
Enumeration Date: May 13, 2010
Last Updated: May 13, 2010

Practice Location

Address: 67 OLD FARMS RD
City: South Glastonbury
State: Connecticut
ZIP Code: 06073-3712
Phone: (860) 633-2012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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