Individual
ALEC THEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3265 BERLIN TPKE, T1802, NEWINGTON, CT 06111-5101
(860) 616-0023
(860) 616-2487
Mailing address
3265 BERLIN TPKE, T1802, NEWINGTON, CT 06111-5101
(860) 616-0023
(860) 616-2487
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
0010122
CT
Other
Enumeration date
10/25/2011
Last updated
05/04/2012
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