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ROGER BEAUDOIN PHARMD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1851743959
Individual Registrant: ROGER BEAUDOIN PHARMD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
180 MAIN ST CHESHIRE, CT 06410-2406 US
Tel: 203-272-3543 Fax: --
Tel: 203-272-3543 Fax: --
Contact information for business:
1382 WOLCOTT RD WOLCOTT, CT 06716-1502 US
Tel: 860-921-7210 Fax: --
Tel: 860-921-7210 Fax: --
Registration Information:
NPI: 1851743959
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CT | PCT.0013754 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
