Individual
CAROL LEA OURS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH, AEC
Contact information
Practice address
1 ANNIE GEORGE DR, MASHANTUCKET, CT 06338-3801
(888) 779-6362
(800) 779-6329
Mailing address
1 ANNIE GEORGE DR, MASHANTUCKET, CT 06338-3801
(888) 779-6362
(800) 779-6329
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
3684
RI
183500000X
Pharmacist
Primary
8112
CT
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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