Individual
PAUL AHEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3252
Mailing address
54 WAITE CORNER RD, NORTH BROOKFIELD, MA 01535-1220
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PCT.0014661
CT
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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