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ROGER BEAUDOIN PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1851743959

Individual Registrant:
 ROGER  BEAUDOIN PHARMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
180 MAIN ST  CHESHIRE, CT 06410-2406 US
Tel: 203-272-3543  Fax: --

Contact information for business:
1382 WOLCOTT RD  WOLCOTT, CT 06716-1502 US
Tel: 860-921-7210  Fax: --

Registration Information:
NPI: 1851743959
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CTPCT.0013754

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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