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RUTH PAULA ARCHER
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist >> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1942867254
Individual Registrant: RUTH PAULA ARCHER
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
365 MONTAUK AVE NEW LONDON, CT 06320-4769 US
Tel: 860-442-0711 Fax: --
Tel: 860-442-0711 Fax: --
Contact information for business:
365 MONTAUK AVE NEW LONDON, CT 06320-4769 US
Tel: 860-442-0711 Fax: --
Tel: 860-442-0711 Fax: --
Registration Information:
NPI: 1942867254
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 1835P0018X | Pharmacy Service Providers Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | RI | 3045 |
| Y | 1835P0018X | Pharmacy Service Providers Pharmacist | CT | 7012 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
